| Entity Name: | MDSPAS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Dec 1992 (32 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 25 Jul 2000 (25 years ago) |
| Document Number: | P92000008268 |
| FEI/EIN Number | 650371523 |
| Address: | 1361 13th Avenue S., Jacksonville Beach, FL, 32250, US |
| Mail Address: | 1361 13th Avenue S., Jacksonville Beach, FL, 32250, US |
| ZIP code: | 32250 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649588039 | 2010-09-20 | 2010-12-15 | 248 PALERMO AVE, CORAL GABLES, FL, 331346606, US | 248 PALERMO AVE, CORAL GABLES, FL, 331346606, US | |||||||||||||||||||||||
|
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| Phone | +1 305-444-2888 |
Authorized person
| Name | PATRICK Z ABUZENI |
| Role | PRESISENT |
| Phone | 3054442888 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | ME 71711 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PROVIDER |
| Number | 69581Z |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ABUZENI PATRICK ZDr. | Agent | 1361 13th Avenue S., Jacksonville Beach, FL, 32250 |
| Name | Role | Address |
|---|---|---|
| ABUZENI PATRICK Z | Director | 1361 13th Avenue S., Jacksonville Beach, FL, 32250 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-24 | 1361 13th Avenue S., Suite 140, Jacksonville Beach, FL 32250 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-24 | 1361 13th Avenue S., Suite 140, Jacksonville Beach, FL 32250 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-24 | 1361 13th Avenue S., Suite 140, Jacksonville Beach, FL 32250 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-02-08 | ABUZENI, PATRICK Z, Dr. | No data |
| NAME CHANGE AMENDMENT | 2000-07-25 | MDSPAS, INC. | No data |
| NAME CHANGE AMENDMENT | 1995-09-13 | MAXILLOFACIAL SURGICAL SPECIALISTS INC. | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J17000126427 | TERMINATED | 1000000736534 | DADE | 2017-02-27 | 2037-03-03 | $ 4,356.57 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-02 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-06-05 |
| ANNUAL REPORT | 2019-08-28 |
| ANNUAL REPORT | 2018-04-28 |
| ANNUAL REPORT | 2017-04-09 |
| ANNUAL REPORT | 2016-04-11 |
| ANNUAL REPORT | 2015-03-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
