| Entity Name: | GEORGE ZISLIS, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 25 Jul 2017 (8 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P17000063003 |
| FEI/EIN Number | 82-2318957 |
| Address: | 2298 KILLARNEY WAY, Tallahassee, FL, 32309, US |
| Mail Address: | 2298 KILLARNEY WAY, Tallahassee, FL, 32309, US |
| ZIP code: | 32309 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932608544 | 2018-02-09 | 2018-02-09 | 2525 EMBASSY DR STE 4, HOLLYWOOD, FL, 330264573, US | 2525 EMBASSY DR STE 4, HOLLYWOOD, FL, 330264573, US | |||||||||||||||||
|
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| Phone | +1 954-443-4141 |
| Fax | 9544317840 |
Authorized person
| Name | LAURA B BURKE |
| Role | CREDENTIALING MANAGER |
| Phone | 9545634472 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ZISLIS GEORGE E | Agent | 2298 KILLARNEY WAY, Tallahassee, FL, 32309 |
| Name | Role | Address |
|---|---|---|
| ZISLIS GEORGE E | President | 2298 KILLARNEY WAY, Tallahassee, FL, 32309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-30 | 2298 KILLARNEY WAY, Tallahassee, FL 32309 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-30 | 2298 KILLARNEY WAY, Tallahassee, FL 32309 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-30 | 2298 KILLARNEY WAY, Tallahassee, FL 32309 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-13 |
| ANNUAL REPORT | 2018-04-10 |
| Domestic Profit | 2017-07-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
