| Entity Name: | JON P. BURDZY, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 15 Mar 1991 (34 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | S38164 |
| FEI/EIN Number | 65-0248821 |
| Address: | 7781 College Parkway, FORT MYERS, FL 33907 |
| Mail Address: | 9974 Las Villas Ct., FORT MYERS, FL 33919 |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134399074 | 2008-03-06 | 2008-03-06 | 7780 CAMBRIDGE MANOR PL STE C, FORT MYERS, FL, 339073656, US | 7780 CAMBRIDGE MANOR PL STE C, FORT MYERS, FL, 339073656, US | |||||||||||||||||
|
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| Phone | +1 239-275-6778 |
Authorized person
| Name | DR. JON P BURDZY |
| Role | PRESIDENT |
| Phone | 2392756778 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | OS 7953 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BURDZY, JON PDO | Agent | 9974 Las Villas Ct., FORT MYERS, FL 33919 |
| Name | Role | Address |
|---|---|---|
| BURDZY, JON PDO | Director | 9974 Las Villas Ct., FORT MYERS, FL 33919 |
| Name | Role | Address |
|---|---|---|
| BURDZY, JON PDO | President | 9974 Las Villas Ct., FORT MYERS, FL 33919 |
| Name | Role | Address |
|---|---|---|
| BURDZY, JON PDO | Secretary | 9974 Las Villas Ct., FORT MYERS, FL 33919 |
| Name | Role | Address |
|---|---|---|
| BURDZY, JON PDO | Treasurer | 9974 Las Villas Ct., FORT MYERS, FL 33919 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-14 | 7781 College Parkway, FORT MYERS, FL 33907 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-14 | 7781 College Parkway, FORT MYERS, FL 33907 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-14 | 9974 Las Villas Ct., FORT MYERS, FL 33919 | No data |
| REGISTERED AGENT NAME CHANGED | 2006-03-13 | BURDZY, JON PDO | No data |
| NAME CHANGE AMENDMENT | 2005-09-14 | JON P. BURDZY, D.O., P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-14 |
| ANNUAL REPORT | 2014-03-04 |
| ANNUAL REPORT | 2013-04-28 |
| ANNUAL REPORT | 2012-03-25 |
| ANNUAL REPORT | 2011-02-26 |
| ANNUAL REPORT | 2010-03-20 |
| ANNUAL REPORT | 2009-02-23 |
| ANNUAL REPORT | 2008-02-28 |
| ANNUAL REPORT | 2007-03-30 |
| ANNUAL REPORT | 2006-03-13 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
