| Entity Name: | EUGENE H MCCOSKEY, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Jul 2016 (9 years ago) |
| Document Number: | P16000058968 |
| FEI/EIN Number | 81-3080216 |
| Address: | 1555 Kingsley Ave Suite 404, Orange Park, FL, 32073, US |
| Mail Address: | 4231 Magnolia Rd., Orange Park, FL, 32065, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750733580 | 2016-07-05 | 2024-07-25 | PO BOX 380009, JACKSONVILLE, FL, 322050509, US | 1555 KINGSLEY AVE STE 404, ORANGE PARK, FL, 320739207, US | |||||||||||||||||||||||||||
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| Phone | +1 904-388-3357 |
| Fax | 9043845746 |
| Phone | +1 904-441-1111 |
Authorized person
| Name | DR. EUGENE H MCCOSKEY II |
| Role | PRESIDENT/PHYSICIAN |
| Phone | 9049230582 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | OS8208 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | OS8208 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| McCoskey Eugene HII | Agent | 4231 Magnolia Rd, Orange Park, FL, 32065 |
| Name | Role | Address |
|---|---|---|
| McCoskey Eugene HII | President | 1555 Kingsley Ave, Orange Park, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| McCoskey Sabrina D | Director | 4231 Magnolia Rd., Orange Park, FL, 32065 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-16 | 1555 Kingsley Ave Suite 404, Orange Park, FL 32073 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-02-03 | McCoskey, Eugene H., II | No data |
| CHANGE OF MAILING ADDRESS | 2020-04-09 | 1555 Kingsley Ave Suite 404, Orange Park, FL 32073 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-01-14 | 4231 Magnolia Rd, Orange Park, FL 32065 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2024-01-06 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-03-01 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-04-09 |
| ANNUAL REPORT | 2019-01-14 |
| ANNUAL REPORT | 2018-06-28 |
| ANNUAL REPORT | 2017-02-11 |
| Domestic Profit | 2016-07-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
