| Entity Name: | KOYO MEDICAL, P A |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Jul 2012 (13 years ago) |
| Document Number: | P12000065895 |
| FEI/EIN Number | 46-0685643 |
| Address: | 4370 Shrewbury Pl, Land O Lakes, FL, 34638, US |
| Mail Address: | 4370 Shrewbury Pl, Land O Lakes, FL, 34638, US |
| ZIP code: | 34638 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679821474 | 2012-08-27 | 2012-10-19 | 19909 TAMIAMI AVE, TAMPA, FL, 336473366, US | 19909 TAMIAMI AVE, TAMPA, FL, 336473366, US | |||||||||||||||||||
|
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| Phone | +1 813-468-1899 |
| Fax | 8134285657 |
Authorized person
| Name | EDET ATING ELENSI |
| Role | PRESIDENT |
| Phone | 8134681899 |
Taxonomy
| Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
| License Number | ME90895 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ELENSI EDET D | Agent | 4370 Shrewbury Pl, Land O Lakes, FL, 34638 |
| Name | Role | Address |
|---|---|---|
| ELENSI EDET D | President | 4370 Shrewbury Pl, Land O Lakes, FL, 34638 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-28 | 4370 Shrewbury Pl, Land O Lakes, FL 34638 | No data |
| CHANGE OF MAILING ADDRESS | 2017-02-28 | 4370 Shrewbury Pl, Land O Lakes, FL 34638 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-02-28 | 4370 Shrewbury Pl, Land O Lakes, FL 34638 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-04-10 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-03-13 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-02-28 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-03-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
