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PALM HARBOR/OLDSMAR URGENT CARE CORP.

Company Details

Entity Name: PALM HARBOR/OLDSMAR URGENT CARE CORP.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 09 Oct 2009 (15 years ago)
Date of dissolution: 18 Dec 2014 (10 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 18 Dec 2014 (10 years ago)
Document Number: P09000083969
FEI/EIN Number 27-1151741
Address: 1803 BRIAR CREEK BLVDVARD, SAFETY HARBOR, FL 34695
Mail Address: 1644 LAGO VISTA BOULEVARD, PALM HARBOR, FL 34685
ZIP code: 34695
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639498744 2010-05-28 2010-05-28 1644 LAGO VISTA BLVD, PALM HARBOR, FL, 346853353, US 3180 CURLEW RD, OLDSMAR, FL, 346772606, US

Contacts

Phone +1 727-488-7484

Authorized person

Name RYSZARD IGNACY KASZUBA
Role PRESIDENT
Phone 7274887484

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
Is Primary Yes

Agent

Name Role
SPIEGEL & UTRERA, P.A. Agent

President

Name Role Address
KASZUBA, RYSZARD President 1803 BRIAR CREEK BOULEVARD, SAFETY HARBOR, FL 34695

Secretary

Name Role Address
KASZUBA, RYSZARD Secretary 1803 BRIAR CREEK BOULEVARD, SAFETY HARBOR, FL 34695

Director

Name Role Address
KASZUBA, RYSZARD Director 1803 BRIAR CREEK BOULEVARD, SAFETY HARBOR, FL 34695
KASZUBA, ROBERT Director 1803 BRIAR CREEK BOULEVARD, SAFETY HARBOR, FL 34695

Vice President

Name Role Address
KASZUBA, ROBERT Vice President 1803 BRIAR CREEK BOULEVARD, SAFETY HARBOR, FL 34695

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2014-12-18 No data No data
AMENDMENT 2013-09-19 No data No data
NAME CHANGE AMENDMENT 2010-05-26 PALM HARBOR/OLDSMAR URGENT CARE CORP. No data

Documents

Name Date
Voluntary Dissolution 2014-12-18
ANNUAL REPORT 2014-04-21
Amendment 2013-09-19
ANNUAL REPORT 2013-04-22
ANNUAL REPORT 2012-04-11
ANNUAL REPORT 2011-04-27
Name Change 2010-05-26
ANNUAL REPORT 2010-05-18
Domestic Profit 2009-10-09

Date of last update: 25 Jan 2025

Sources: Florida Department of State