| Entity Name: | IAN J KOWALSKI, DO, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 08 Nov 2018 (6 years ago) |
| Date of dissolution: | 31 Jan 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 31 Jan 2020 (5 years ago) |
| Document Number: | P18000092780 |
| FEI/EIN Number | 83-2525287 |
| Address: | 6816 GRIFFIN ROAD, DAVIE, FL, 33316, US |
| Mail Address: | 453 SW 169TH TERRACE, WESTON, FL, 33326, US |
| ZIP code: | 33316 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851955876 | 2019-04-24 | 2019-05-26 | 453 SW 169TH TER, WESTON, FL, 333261530, US | 6816 GRIFFIN RD, DAVIE, FL, 333144341, US | |||||||||||||||
|
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| Phone | +1 954-300-7688 |
| Phone | +1 786-864-0425 |
Authorized person
| Name | DR. IAN KOWALSKI |
| Role | PRESIDENT, FOUNDER |
| Phone | 9543007688 |
Taxonomy
| Taxonomy Code | 207RH0002X - Hospice and Palliative Medicine (Internal Medicine) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KOWALSKI IAN J | Agent | 6816 GRIFFIN ROAD, WESTON, FL, 33326 |
| Name | Role | Address |
|---|---|---|
| KOWALSKI IAN J | President | 6816 GRIFFIN ROAD, DAVIE, FL, 33316 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-01-31 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-01-31 |
| ANNUAL REPORT | 2019-02-25 |
| Domestic Profit | 2018-11-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
