Entity Name: | JEROME COVINGTON MD PA |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 06 May 2019 (6 years ago) |
Document Number: | P19000039700 |
FEI/EIN Number | 84-1770798 |
Address: | 901 VON PHISTER STREET, KEY WEST, FL, 33040, US |
Mail Address: | 901 VON PHISTER STREET, KEY WEST, FL, 33040, US |
ZIP code: | 33040 |
County: | Monroe |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1205564200 | 2022-08-09 | 2022-08-09 | PO BOX 2371, KEY WEST, FL, 330452371, US | 2505 FLAGLER AVE, KEY WEST, FL, 330403934, US | |||||||||||||||
|
Phone | +1 305-295-6790 |
Fax | 3052958455 |
Authorized person
Name | LISA GARRO |
Role | BILLING MANAGER |
Phone | 9547967914 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
Ward & Meyers, LLC | Agent | 22993 Anne Bonny Ln, Cudjoe Key, FL, 33042 |
Name | Role | Address |
---|---|---|
COVINGTON JEROME | President | 901 VON PHISTER STREET, KEY WEST, FL, 33040 |
Name | Role | Address |
---|---|---|
COVINGTON JEROME | Secretary | 901 VON PHISTER STREET, KEY WEST, FL, 33040 |
Name | Role | Address |
---|---|---|
COVINGTON JEROME | Treasurer | 901 VON PHISTER STREET, KEY WEST, FL, 33040 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2024-02-28 | Ward & Meyers, LLC | No data |
REGISTERED AGENT ADDRESS CHANGED | 2023-03-06 | 22993 Anne Bonny Ln, Cudjoe Key, FL 33042 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-28 |
ANNUAL REPORT | 2023-03-06 |
ANNUAL REPORT | 2022-03-18 |
ANNUAL REPORT | 2021-04-26 |
ANNUAL REPORT | 2020-06-29 |
Domestic Profit | 2019-05-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State