| Entity Name: | EDWARD ORSHANSKY MD, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Aug 2018 (6 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 13 Aug 2024 (6 months ago) |
| Document Number: | P18000074336 |
| FEI/EIN Number | 83-1774990 |
| Address: | 12412 San Jose Blvd, Jacksonville, FL, 32223, US |
| Mail Address: | 12412 San Jose Blvd, Jacksonville, FL, 32223, US |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497517155 | 2024-01-29 | 2024-09-23 | 12412 SAN JOSE BLVD STE 404, JACKSONVILLE, FL, 322238620, US | 12412 SAN JOSE BLVD STE 404, JACKSONVILLE, FL, 322238620, US | |||||||||||||||
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| Phone | +1 904-464-1044 |
| Fax | 9047346281 |
Authorized person
| Name | DR. EDWARD ORSHANSKY |
| Role | PRESIDENT |
| Phone | 9046468788 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ORSHANSKY EDWARD | Agent | 716 E DORCHESTER DR, SAINT JOHNS, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| ORSHANSKY EDWARD Dr. | Chief Executive Officer | 716 E DORCHESTER DR, SAINT JOHNS, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| Nudelman Marianna | Chief Operating Officer | 716 E DORCHESTER DR, SAINT JOHNS, FL, 32259 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000092853 | RIVERS TO WELLNESS | ACTIVE | 2024-08-05 | 2029-12-31 | No data | 12412 SAN JOSE BLVD, SUITE 404, JACKSONVILLE, FL, 32223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2024-08-13 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-13 | 12412 San Jose Blvd, Suite 404, Jacksonville, FL 32223 | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-13 | 12412 San Jose Blvd, Suite 404, Jacksonville, FL 32223 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-03 | 716 E DORCHESTER DR, SAINT JOHNS, FL 32259 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-08-14 |
| Amendment | 2024-08-13 |
| ANNUAL REPORT | 2024-03-21 |
| ANNUAL REPORT | 2023-03-30 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-16 |
| ANNUAL REPORT | 2019-04-15 |
| Domestic Profit | 2018-08-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
