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DLC DELTA, INC.

Company Details

Entity Name: DLC DELTA, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 30 Jul 2020 (5 years ago)
Date of dissolution: 12 Sep 2022 (2 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 12 Sep 2022 (2 years ago)
Document Number: P20000059802
FEI/EIN Number 85-2454034
Address: 259 S. E STREET, PENSACOLA, FL, 32502, US
Mail Address: 259 S. E STREET, PENSACOLA, FL, 32502, US
ZIP code: 32502
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619543881 2021-05-28 2021-05-28 259 S E ST, PENSACOLA, FL, 325024569, US 259 S E ST, PENSACOLA, FL, 325024569, US

Contacts

Phone +1 734-389-5832

Authorized person

Name DR. GERALD MASTAW
Role INTERIM CEO
Phone 7343895832

Taxonomy

Taxonomy Code 208VP0014X - Interventional Pain Medicine Physician
Is Primary Yes
Taxonomy Code 251B00000X - Case Management Agency
Is Primary No

Agent

Name Role Address
MASTAW GERALD Agent 259 S. E STREET, PENSACOLA, FL, 32502

Chief Executive Officer

Name Role Address
MASTAW GERALD Chief Executive Officer 259 S. E STREET, PENSACOLA, FL, 32502

Chief Financial Officer

Name Role Address
Rosenbaum Marco Chief Financial Officer 6319 Vista Del Mar, Playa Del Rey, CA, 90293

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000093706 CONSANO HEALTH ACTIVE 2021-07-18 2026-12-31 No data 259 S. E ST, PENSACOLA, FL, 32502
G21000059649 ORTHOGENETICS ACTIVE 2021-04-30 2026-12-31 No data 259 S. E ST., PENSACOLA, FL, 32502

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-09-12 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-09-12
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-04-30
Domestic Profit 2020-07-30

Date of last update: 01 Feb 2025

Sources: Florida Department of State