| Entity Name: | STAN ZEMANKIEWICZ, M.D., PH.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 19 Oct 1998 (26 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P98000089003 |
| FEI/EIN Number | 593538218 |
| Address: | 2250 OSPREY BOULEVARD, SUITE 104, BARTOW, FL, 33830 |
| Mail Address: | 2250 OSPREY BOULEVARD, SUITE 104, BARTOW, FL, 33830 |
| ZIP code: | 33830 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114046372 | 2007-03-28 | 2020-08-22 | 2250 OSPREY BLVD, SUITE 104, BARTOW, FL, 338304340, US | 2250 OSPREY BLVD, SUITE 104, BARTOW, FL, 338304340, US | |||||||||||||||||
|
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| Phone | +1 863-533-4033 |
Authorized person
| Name | BRIAN CLUKIE |
| Role | ADMINISTRATOR |
| Phone | 8136592502 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| License Number | ME0047215 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ZEMANKIEWICZ STAN | Agent | 2250 OSPREY BOULEVARD, SUITE 104, BARTOW, FL, 33830 |
| Name | Role | Address |
|---|---|---|
| ZEMANKIEWICZ STAN | Manager | 2250 OSPREY BOULEVARD, SUITE 104, BARTOW, FL, 33830 |
| Name | Role | Address |
|---|---|---|
| ZEMANKIEWICZ STAN | Director | 2250 OSPREY BOULEVARD, SUITE 104, BARTOW, FL, 33830 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CANCEL ADM DISS/REV | 2005-10-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2001-05-01 | 2250 OSPREY BOULEVARD, SUITE 104, BARTOW, FL 33830 | No data |
| CHANGE OF MAILING ADDRESS | 2001-05-01 | 2250 OSPREY BOULEVARD, SUITE 104, BARTOW, FL 33830 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2001-05-01 | 2250 OSPREY BOULEVARD, SUITE 104, BARTOW, FL 33830 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-02-19 |
| ANNUAL REPORT | 2010-03-31 |
| ANNUAL REPORT | 2009-04-13 |
| ANNUAL REPORT | 2008-01-31 |
| ANNUAL REPORT | 2007-02-23 |
| ANNUAL REPORT | 2006-08-23 |
| REINSTATEMENT | 2005-10-04 |
| ANNUAL REPORT | 2004-04-19 |
| ANNUAL REPORT | 2003-04-29 |
| ANNUAL REPORT | 2002-02-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
