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DAVID GONZALEZ MD PA

Company Details

Entity Name: DAVID GONZALEZ MD PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 Jul 2009 (16 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 21 Apr 2021 (4 years ago)
Document Number: P09000058820
FEI/EIN Number 270508917
Address: 5037 LAKE WORTH ROAD, GREENACRES, FL, 33463
Mail Address: 5037 LAKE WORTH ROAD, GREENACRES, FL, 33463
ZIP code: 33463
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447481817 2009-08-04 2009-08-04 5037 LAKE WORTH RD, GREENACRES, FL, 334633348, US 5037 LAKE WORTH RD, GREENACRES, FL, 334633348, US

Contacts

Phone +1 561-433-8911
Fax 5619688100

Authorized person

Name DAVID GONZALEZ
Role OWNER
Phone 5614338911

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
GONZALEZ DAVID Agent 12721 HEADWATER TERR, WELLINGTON, FL, 33414

President

Name Role Address
GONZALEZ DAVID President 12721 HEADWATER TERR, WELLINGTON, FL, 33414

Events

Event Type Filed Date Value Description
REINSTATEMENT 2021-04-21 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
REINSTATEMENT 2019-09-09 No data No data
REGISTERED AGENT NAME CHANGED 2019-09-09 GONZALEZ, DAVID No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-18
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-02-09
REINSTATEMENT 2021-04-21
REINSTATEMENT 2019-09-09
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-04-13
ANNUAL REPORT 2015-03-18
ANNUAL REPORT 2014-04-30
ANNUAL REPORT 2013-01-30

Date of last update: 01 Feb 2025

Sources: Florida Department of State