| Entity Name: | JILLEEN M. PANNOZZO, D.O. P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Jul 2013 (12 years ago) |
| Document Number: | P13000057054 |
| FEI/EIN Number | 46-3167866 |
| Address: | 10301 HAGEN RANCH ROAD, BOYNTON BEACH, FL, 33437, US |
| Mail Address: | 10301 HAGEN RANCH ROAD, BOYNTON BEACH, FL, 33437, US |
| ZIP code: | 33437 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649607136 | 2013-09-30 | 2013-09-30 | 10301 HAGEN RANCH RD, SUITE 7, BOYNTON BEACH, FL, 334373724, US | 10301 HAGEN RANCH RD, SUITE 7, BOYNTON BEACH, FL, 334373724, US | |||||||||||||||||||
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| Phone | +1 561-733-4469 |
| Fax | 5617336858 |
Authorized person
| Name | DR. JILLEEN MARIE PANNOZZO |
| Role | PSYCHIATRIST |
| Phone | 5617334469 |
Taxonomy
| Taxonomy Code | 2084P0805X - Geriatric Psychiatry Physician |
| License Number | OS0005928 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PANNOZZO JILLEEN M | Agent | 10301 HAGEN RANCH ROAD, BOYNTON BEACH, FL, 33437 |
| Name | Role | Address |
|---|---|---|
| PANNOZZO JILLEEN M | President | 10301 HAGEN RANCH ROAD SUITE 7, BOYNTON BEACH, FL, 33437 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-02-28 | 10301 HAGEN RANCH ROAD, Suite 7, BOYNTON BEACH, FL 33437 | No data |
| CHANGE OF MAILING ADDRESS | 2016-02-28 | 10301 HAGEN RANCH ROAD, Suite 7, BOYNTON BEACH, FL 33437 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-02-28 | 10301 HAGEN RANCH ROAD, Suite 7, BOYNTON BEACH, FL 33437 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-10 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-03-06 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-02-12 |
| ANNUAL REPORT | 2016-02-28 |
| ANNUAL REPORT | 2015-02-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
