| Entity Name: | PETER KOZLOWSKI, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Sep 2014 (10 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P14000078354 |
| FEI/EIN Number | 47-1899691 |
| Address: | 2010 Lewis Turner Blvd., Fort Walton Beach, FL, 32547, US |
| Mail Address: | 684 EMERALD BAY DRIVE, DESTIN, FL, 32541, US |
| ZIP code: | 32547 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| PLEAT DAVID B | Agent | 4477 LEGENDARY DRIVE, DESTIN, FL, 32541 |
| Name | Role | Address |
|---|---|---|
| KOZLOWSKI PETER | President | 684 EMERALD BAY DRIVE, DESTIN, FL, 32541 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000096992 | EMERALD COAST FUNCTIONAL FAMILY MEDICINE | EXPIRED | 2014-09-23 | 2019-12-31 | No data | 684 EMERALD BAY DRIVE, DESTIN, FL, 32541 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-20 | 2010 Lewis Turner Blvd., Fort Walton Beach, FL 32547 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-01-20 |
| Domestic Profit | 2014-09-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
