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MICHAEL J. KONZELA, D.D.S., P.A.

Company Details

Entity Name: MICHAEL J. KONZELA, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 15 May 1998 (27 years ago)
Date of dissolution: 25 Sep 2015 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (9 years ago)
Document Number: P98000044668
FEI/EIN Number 650840889
Address: 1501 CORPORATE DRIVE, SUITE 140, BOYNTON BEACH, FL, 33426, UN
Mail Address: 1501 CORPORATE DRIVE, SUITE 140, BOYNTON BEACH, FL, 33426, UN
ZIP code: 33426
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154402428 2006-10-17 2020-08-22 1501 CORPORATE DR, SUITE 140, BOYNTON BEACH, FL, 334266600, US 1501 CORPORATE DR, SUITE 140, BOYNTON BEACH, FL, 334266600, US

Contacts

Phone +1 561-364-8700
Fax 5613641816

Authorized person

Name MRS. JANET ANN KONDZIELA
Role OFFICE MANAGER
Phone 5613648700

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number DN11296
State FL
Is Primary Yes

Agent

Name Role Address
KONZELA MICHAEL J Agent 1501 CORPORATE DRIVE, BONYTON BEACH, FL, 33426

Director

Name Role Address
KONZELA MICHAEL J Director 1501 CORPORATE DR., #140, BOYNTON BEACH, FL, 33426

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2012-04-18 1501 CORPORATE DRIVE, SUITE 140, BOYNTON BEACH, FL 33426 UN No data
CHANGE OF MAILING ADDRESS 2012-04-18 1501 CORPORATE DRIVE, SUITE 140, BOYNTON BEACH, FL 33426 UN No data
REGISTERED AGENT ADDRESS CHANGED 2007-02-20 1501 CORPORATE DRIVE, SUITE 140, BONYTON BEACH, FL 33426 No data
REGISTERED AGENT NAME CHANGED 1999-03-04 KONZELA, MICHAEL JDDS No data

Documents

Name Date
ANNUAL REPORT 2014-05-14
ANNUAL REPORT 2013-03-30
ANNUAL REPORT 2012-04-18
ANNUAL REPORT 2011-03-21
ANNUAL REPORT 2010-04-14
ANNUAL REPORT 2009-04-17
ANNUAL REPORT 2008-03-24
ANNUAL REPORT 2007-02-20
ANNUAL REPORT 2006-02-02
ANNUAL REPORT 2005-01-12

Date of last update: 02 Feb 2025

Sources: Florida Department of State