| Entity Name: | KRAVITZ PHYSICIAN SERVICES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 16 Nov 2015 (9 years ago) |
| Date of dissolution: | 16 Dec 2020 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 16 Dec 2020 (4 years ago) |
| Document Number: | P15000093319 |
| FEI/EIN Number | 81-0761854 |
| Address: | 5150 NW 82 TERRACE, CORAL SPRINGS, FL 33067 |
| Mail Address: | 5150 NW 82 TERRACE, CORAL SPRINGS, FL 33067 |
| ZIP code: | 33067 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013375062 | 2016-02-05 | 2016-02-05 | 5150 NW 82ND TER, CORAL SPRINGS, FL, 330672811, US | 5150 NW 82ND TER, CORAL SPRINGS, FL, 330672811, US | |||||||||||||||||||
|
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| Phone | +1 754-702-5348 |
| Fax | 9547552830 |
Authorized person
| Name | DR. JACK ALLAN KRAVITZ |
| Role | PRESIDENT |
| Phone | 7547025348 |
Taxonomy
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| License Number | ME41286 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KRAVITZ, JACK A, M.D. | Agent | 5150 NW 82 TERRACE, CORAL SPRINGS, FL 33067 |
| Name | Role | Address |
|---|---|---|
| KRAVITZ, JACK A, M.D. | President | 5150 NW 82 TERRACE, CORAL SPRINGS, FL 33067 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-12-16 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-12-16 |
| ANNUAL REPORT | 2020-02-13 |
| ANNUAL REPORT | 2019-02-19 |
| ANNUAL REPORT | 2018-03-03 |
| ANNUAL REPORT | 2017-02-18 |
| Domestic Profit | 2015-11-16 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
