Entity Name: | PAUL D. ZAWATSKY, MD, PA. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 13 Jul 1998 (27 years ago) |
Date of dissolution: | 22 Sep 2000 (24 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 22 Sep 2000 (24 years ago) |
Document Number: | P98000062193 |
FEI/EIN Number | 593520889 |
Address: | 11798 SAN JOSE BLVD., SUITE 1, JACKSONVILLE, FL, 32223 |
Mail Address: | 3631 MOSSWOOD CT, JACKSONVILLE, FL, 32223 |
ZIP code: | 32223 |
County: | Duval |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1265704530 | 2012-02-02 | 2012-02-02 | 3631 MOSSWOOD CT, JACKSONVILLE, FL, 322233255, US | 10609 OLD SAINT AUGUSTINE RD, SUITE 4, JACKSONVILLE, FL, 322571164, US | |||||||||||||||||||
|
Phone | +1 904-260-8424 |
Fax | 9042604420 |
Authorized person
Name | PAUL D. ZAWATSKY |
Role | PRESIDENT |
Phone | 9042608424 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
License Number | ME63004 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ZAWATSKY PAUL D | Agent | 3631 MOSSWOOD CT, JACKSONVILLE, FL, 32223 |
Name | Role | Address |
---|---|---|
ZAWATSKY PAUL D | President | 3631 MOSSWOOD CT, JACKSONVILLE, FL, 32223 |
Name | Role | Address |
---|---|---|
ZAWATSKY PAUL D | Treasurer | 3631 MOSSWOOD CT, JACKSONVILLE, FL, 32223 |
Name | Role | Address |
---|---|---|
ZAWATSKY PAUL D | Director | 3631 MOSSWOOD CT, JACKSONVILLE, FL, 32223 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2000-09-22 | No data | No data |
CHANGE OF MAILING ADDRESS | 1999-05-05 | 11798 SAN JOSE BLVD., SUITE 1, JACKSONVILLE, FL 32223 | No data |
REGISTERED AGENT ADDRESS CHANGED | 1999-05-05 | 3631 MOSSWOOD CT, JACKSONVILLE, FL 32223 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 1999-05-05 |
Domestic Profit | 1998-07-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State