| Entity Name: | ZIVKOVIC FAMILY MEDICINE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Feb 2014 (11 years ago) |
| Document Number: | P14000017407 |
| FEI/EIN Number | 46-4900975 |
| Address: | 2546 Heydon Lane, CAPE CORAL, FL, 33991, US |
| Mail Address: | 2546 Heydon Lane, CAPE CORAL, FL, 33991, US |
| ZIP code: | 33991 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932524113 | 2014-02-25 | 2014-07-17 | 949 CHIQUITA BLVD S, CAPE CORAL, FL, 339912143, US | 949 CHIQUITA BLVD S, CAPE CORAL, FL, 339912143, US | |||||||||||||||||||
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| Phone | +1 239-772-7202 |
| Fax | 2394240457 |
Authorized person
| Name | DR. KRISTA M ZIVKOVIC |
| Role | OWNER |
| Phone | 2397727202 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS8669 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ZIVKOVIC KRISTA M | Agent | 2546 HEYDON LANE, CAPE CORAL, FL, 33991 |
| Name | Role | Address |
|---|---|---|
| ZIVKOVIC KRISTA M | President | 2546 Heydon Lane, CAPE CORAL, FL, 33991 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-01 | 2546 HEYDON LANE, CAPE CORAL, FL 33991 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-16 | 2546 Heydon Lane, CAPE CORAL, FL 33991 | No data |
| CHANGE OF MAILING ADDRESS | 2020-04-16 | 2546 Heydon Lane, CAPE CORAL, FL 33991 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-18 |
| ANNUAL REPORT | 2023-03-29 |
| ANNUAL REPORT | 2022-03-14 |
| ANNUAL REPORT | 2021-01-27 |
| Reg. Agent Change | 2020-04-27 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-02-20 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-03-31 |
| ANNUAL REPORT | 2016-03-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
