| Entity Name: | EDWARD M. ZAWADZKI, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Aug 2009 (16 years ago) |
| Document Number: | P09000065960 |
| FEI/EIN Number | 270688746 |
| Address: | 4600 Military Trail, Suite 103, Jupiter, FL, 33458, US |
| Mail Address: | 4600 Military Trail, Suite 103, Jupiter, FL, 33458, US |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114227725 | 2010-10-28 | 2010-10-28 | 248 W BAY CEDAR CIR, JUPITER, FL, 334587123, US | 248 W BAY CEDAR CIR, JUPITER, FL, 334587123, US | |||||||||||||||||
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| Phone | +1 516-435-7192 |
Authorized person
| Name | DR. EDWARD M. ZAWADZKI |
| Role | PRESIDENT |
| Phone | 5164357192 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | OS10557 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ZAWADZKI EDWARD M | Agent | 4600 Military Trail, Jupiter, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| ZAWADZKI EDWARD M | Chief Executive Officer | 4600 Military Trail, Jupiter, FL, 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-08 | 4600 Military Trail, Suite 103, Jupiter, FL 33458 | No data |
| CHANGE OF MAILING ADDRESS | 2015-01-08 | 4600 Military Trail, Suite 103, Jupiter, FL 33458 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-08 | 4600 Military Trail, Suite 103, Jupiter, FL 33458 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-02-07 |
| ANNUAL REPORT | 2020-02-26 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-07-05 |
| ANNUAL REPORT | 2016-03-22 |
| ANNUAL REPORT | 2015-01-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
