| Entity Name: | PENTZKE MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 13 Apr 1995 (30 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P95000030452 |
| FEI/EIN Number | 65-0588045 |
| Address: | 1501 FOREST HILL BLVD, SUITE 103, WEST PALM BEACH, FL 33406 |
| Mail Address: | 1501 FOREST HILL BLVD, SUITE 103, WEST PALM BEACH, FL 33406 |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861413957 | 2006-07-22 | 2008-02-07 | 6309 S DIXIE HWY, WEST PALM BEACH, FL, 334054328, US | 6309 S DIXIE HWY, WEST PALM BEACH, FL, 334054328, US | |||||||||||||||||||
|
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| Phone | +1 561-585-0640 |
| Fax | 5615850659 |
Authorized person
| Name | DR. ISIDRO GUILLERMO PENTZKE |
| Role | OWNER |
| Phone | 5615850640 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME67383 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COCON LLC | Agent |
| Name | Role | Address |
|---|---|---|
| PENTZKE, ISIDRO | President | 11266 EDGE WATER CIR, WELLINGTON, FL 33414 |
| Name | Role | Address |
|---|---|---|
| PENTZKE, MERCEDES | Vice President | 11266 EDGE WATER CIRC, WELLINGTON, FL 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-03-28 | COCON LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-20 | 1501 FOREST HILL BLVD, SUITE 103, WEST PALM BEACH, FL 33406 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-20 | 1501 FOREST HILL BLVD, SUITE 103, WEST PALM BEACH, FL 33406 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-02-19 | 1842 WILTSHIRE VILLAGE DR, WELLINGTON, FL 33414 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-03-28 |
| ANNUAL REPORT | 2019-02-20 |
| ANNUAL REPORT | 2018-02-04 |
| ANNUAL REPORT | 2017-03-20 |
| ANNUAL REPORT | 2016-04-16 |
| ANNUAL REPORT | 2015-03-27 |
| ANNUAL REPORT | 2014-03-11 |
| ANNUAL REPORT | 2013-04-13 |
| ANNUAL REPORT | 2012-01-18 |
| ANNUAL REPORT | 2011-01-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
