Entity Name: | GOSS, PARKER & QUINSEY, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 28 May 1993 (32 years ago) |
Document Number: | P93000038523 |
FEI/EIN Number | 593184117 |
Address: | 785 PRIMERA BLVD, SUITE 1031, LAKE MARY, FL, 32746, US |
Mail Address: | 785 Primera Blvd, Suite 1031, LAKE MARY, FL, 32746, US |
ZIP code: | 32746 |
County: | Seminole |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1952354730 | 2006-05-19 | 2011-06-15 | 785 PRIMERA BOULEVARD, SUITE 1031, LAKE MARY, FL, 327462124, US | 785 PRIMERA BOULEVARD, SUITE 1031, LAKE MARY, FL, 327462124, US | |||||||||||||||||||||||||||||
|
Phone | +1 407-834-8111 |
Fax | 4077081958 |
Authorized person
Name | JOHN V. PARKER |
Role | PHYSICIAN |
Phone | 4078348111 |
Taxonomy
Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | GROUP MEDICAID NUMBER |
Number | 259038700 |
Issuer | GROUP MEDICARE NUMBER |
Number | 24039 |
Issuer | MEDICAID |
Number | 259038700 |
State | FL |
Name | Role | Address |
---|---|---|
PARKER JOHN | Agent | 3073 Cecelia Drive, Apopka, FL, 32703 |
Name | Role | Address |
---|---|---|
Parker John V | President | 3073 Cecelia Drive, Apopka, FL, 32703 |
Name | Role | Address |
---|---|---|
GOSS DAVID L | Vice President | 1504 Rackets Court, Lake Mary, FL, 32746 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G08098700108 | ADVANCED WOMEN'S HEALTH SPECIALISTS | ACTIVE | 2008-04-07 | 2028-12-31 | No data | 785 PRIMERA BLVD., BUILDING 2 SUITE 1031, LAKE MARY, FL, 32746 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
NAME CHANGE AMENDMENT | 2006-10-30 | GOSS, PARKER & QUINSEY, P.A. | No data |
NAME CHANGE AMENDMENT | 2003-04-28 | SWEET, GOSS, PARKER & QUINSEY, P.A. | No data |
AMENDMENT | 1997-07-23 | No data | No data |
CORPORATE MERGER | 1997-06-05 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. CORPORATE MERGER NUMBER 100000013701 |
CORPORATE MERGER NAME CHANGE | 1997-06-05 | GUINDI, SWEET, GOSS & PARKER, P.A. | CORPORATE NAME CHANGE WAS A RESULT OF A MERGER. |
Date of last update: 01 Jan 2025
Sources: Florida Department of State