| Entity Name: | NORTH STAR ALLERGY, ASTHMA & IMMUNOLOGY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Jul 2019 (6 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 16 Sep 2019 (5 years ago) |
| Document Number: | P19000055735 |
| FEI/EIN Number | 84-2786176 |
| Address: | CARILLON OUTPATIENT CENTER, 900 CARILLON PARKWAY, ST PETERSBURG, FL, 33716, US |
| Mail Address: | 2655 ULMERTON RD, #225, CLEARWATER, FL, 33762, US |
| ZIP code: | 33716 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700419876 | 2020-02-18 | 2024-08-09 | 2655 ULMERTON RD # 225, CLEARWATER, FL, 337623337, US | 900 CARILLON PKWY STE 301, ST PETERSBURG, FL, 337161115, US | |||||||||||||
|
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| Phone | +1 727-222-1879 |
Authorized person
| Name | LOREN E. ISAKSON |
| Role | OWNER |
| Phone | 3478862498 |
Taxonomy
| Taxonomy Code | 207K00000X - Allergy & Immunology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ISAKSON LOREN E | Agent | 2655 ULMERTON RD, CLEARWATER, FL, 33762 |
| Name | Role | Address |
|---|---|---|
| ISAKSON LOREN E | President | CARILLON OUTPATIENT CENTER, ST PETERSBURG, FL, 33716 |
| Name | Role | Address |
|---|---|---|
| ISAKSON LOREN E | Treasurer | CARILLON OUTPATIENT CENTER, ST PETERSBURG, FL, 33716 |
| Name | Role | Address |
|---|---|---|
| ISAKSON LOREN E | Director | CARILLON OUTPATIENT CENTER, ST PETERSBURG, FL, 33716 |
| Name | Role | Address |
|---|---|---|
| ISAKSON YARDENA | Secretary | CARILLON OUTPATIENT CENTER, ST PETERSBURG, FL, 33716 |
| Name | Role | Address |
|---|---|---|
| ISAKSON YARDENA | Vice President | CARILLON OUTPATIENT CENTER, ST PETERSBURG, FL, 33716 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-27 | CARILLON OUTPATIENT CENTER, 900 CARILLON PARKWAY, Suite 301, ST PETERSBURG, FL 33716 | No data |
| AMENDMENT | 2019-09-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-05 |
| AMENDED ANNUAL REPORT | 2022-10-14 |
| ANNUAL REPORT | 2022-04-14 |
| ANNUAL REPORT | 2021-03-11 |
| ANNUAL REPORT | 2020-06-30 |
| Amendment | 2019-09-16 |
| Domestic Profit | 2019-07-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
