| Entity Name: | NICHOLAS KOEHLER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 11 Jun 2014 (11 years ago) |
| Document Number: | P14000050195 |
| FEI/EIN Number | 47-1173649 |
| Address: | 215 N Howard Avenue,, SUITE 101, Tampa, FL 33606 |
| Mail Address: | 3703 W Jetton Avenue, Tampa, FL 33629 |
| ZIP code: | 33606 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639538754 | 2016-02-17 | 2021-02-22 | 215 N HOWARD AVE STE 101, TAMPA, FL, 336061574, US | 5802 N 30TH ST, TAMPA, FL, 336101469, US | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-328-8714 |
| Fax | 8138730306 |
Authorized person
| Name | NICHOLAS KOEHLER |
| Role | PRESIDENT |
| Phone | 8133936247 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| License Number | ME104572 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207LA0401X - Addiction Medicine (Anesthesiology) Physician |
| License Number | ME104572 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| License Number | ME104572 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| License Number | ME104572 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| License Number | ME104572 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Franco, Christine | Agent | 215 N Howard Avenue, Suite 101, Tampa, FL 33606 |
| Name | Role | Address |
|---|---|---|
| KOEHLER, NICHOLAS | President | 3703 W Jetton Avenue, Tampa, FL 33629 |
| Name | Role | Address |
|---|---|---|
| KOEHLER, NICHOLAS | Vice President | 3703 W Jetton Avenue, Tampa, FL 33629 |
| Name | Role | Address |
|---|---|---|
| KOEHLER, NICHOLAS | Secretary | 3703 W Jetton Avenue, Tampa, FL 33629 |
| Name | Role | Address |
|---|---|---|
| KOEHLER, NICHOLAS | Director | 3703 W Jetton Avenue, Tampa, FL 33629 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-09 | 215 N Howard Avenue,, SUITE 101, Tampa, FL 33606 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-06-29 | 215 N Howard Avenue,, SUITE 101, Tampa, FL 33606 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-01-27 | Franco, Christine | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-27 | 215 N Howard Avenue, Suite 101, Tampa, FL 33606 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-07 |
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-27 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-03-08 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
