| Entity Name: | DAVID OLINSKY, D.P.M., PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 Jul 2010 (15 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P10000061319 |
| FEI/EIN Number | 273193416 |
| Address: | 4050 D SHERIDAN STREET, HOLLYWOOD, FL, 33021 |
| Mail Address: | 4050 D SHERIDAN STREET, HOLLYWOOD, FL, 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851644389 | 2012-10-22 | 2012-10-22 | 4050 SHERIDAN ST STE D, HOLLYWOOD, FL, 330213561, US | 4050 SHERIDAN ST STE D, HOLLYWOOD, FL, 330213561, US | |||||||||||||||||||||||||
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| Phone | +1 954-322-7220 |
| Fax | 9543227041 |
Authorized person
| Name | DR. DAVID OLINSKY |
| Role | DOCTOR/OWNER |
| Phone | 9543227220 |
Taxonomy
| Taxonomy Code | 213ES0131X - Foot Surgery Podiatrist |
| License Number | PO3273 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003456200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| OLINSKY DAVID D | Agent | 4050 D SHERIDAN STREET, HOLLYWOOD, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| OLINSKY DAVID D | President | 4050 D SHERIDAN STREET, HOLLYWOOD, FL, 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-03-29 |
| ANNUAL REPORT | 2015-04-15 |
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-04-29 |
| ANNUAL REPORT | 2012-04-23 |
| ANNUAL REPORT | 2011-04-26 |
| Domestic Profit | 2010-07-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
