| Entity Name: | JOSEPH Z. KRAUSE, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 30 Dec 1997 (27 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P97000108824 |
| FEI/EIN Number | 650811188 |
| Address: | 5162 LINTON BLVD, SUITE 102, DELRAY BEACH, FL, 33484 |
| Mail Address: | 5162 LINTON BLVD, SUITE 102, DELRAY BEACH, FL, 33484 |
| ZIP code: | 33484 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619956091 | 2006-01-12 | 2008-02-11 | 5162 LINTON BLVD, SUITE 102, DELRAY BEACH, FL, 334846567, US | 5162 LINTON BLVD, SUITE 102, DELRAY BEACH, FL, 334846567, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-499-5100 |
| Fax | 5614995133 |
Authorized person
| Name | JOSEPH Z KRAUSE |
| Role | MEDICAL DIRECTOR |
| Phone | 5614995100 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | GHI |
| Number | 0019684 |
| State | FL |
| Issuer | CHAMPUS |
| Number | 592247909334840000 |
| State | FL |
| Issuer | NY EMPIRE BCBS |
| Number | 7A0741JK |
| State | FL |
| Issuer | MEDICAID |
| Number | 067367600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KRAUSE FRANCES | Agent | 5162 LINTON BLVD, DELRAY BEACH, FL, 33484 |
| Name | Role | Address |
|---|---|---|
| KRAUSE JOSEPH Z | President | 5162 LINTON BLVD, STE 102, DELRAY BEACH, FL, 33484 |
| Name | Role | Address |
|---|---|---|
| KRAUSE FRANCES L | Vice President | 5162 LINTON BLVD STE 102, DELRAY BEACH, FL, 33484 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2008-01-05 | KRAUSE, FRANCES | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-01-05 | 5162 LINTON BLVD, SUITE 102, DELRAY BEACH, FL 33484 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-02-16 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-04-08 |
| ANNUAL REPORT | 2014-03-19 |
| ANNUAL REPORT | 2013-01-24 |
| ANNUAL REPORT | 2012-02-28 |
| ANNUAL REPORT | 2011-02-05 |
| ANNUAL REPORT | 2010-01-12 |
| ANNUAL REPORT | 2009-04-17 |
| ANNUAL REPORT | 2008-01-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
