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GYNECOLOGY SPECIALIST, INC.

Company Details

Entity Name: GYNECOLOGY SPECIALIST, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 13 Jan 1992 (33 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: V06617
FEI/EIN Number 59-3099316
Address: 22 W LAKE BEAUTY DRIVE, SUITE 215, ORLANDO, FL 32806
Mail Address: 22 W LAKE BEAUTY DRIVE, SUITE 215, ORLANDO, FL 32806
ZIP code: 32806
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720267107 2007-11-01 2007-11-01 22 LAKE BEAUTY DR, STE. 215, ORLANDO, FL, 328062037, US 22 LAKE BEAUTY DR, STE. 215, ORLANDO, FL, 328062037, US

Contacts

Phone +1 407-422-0037
Fax 4074232535

Authorized person

Name DR. MAURO EDWARD DIEZ
Role PRESIDENT
Phone 4074220037

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number ME0038697
State FL
Is Primary Yes

Agent

Name Role Address
DIEZ, MAURO Agent 1122 LAKE WILLISARA CIR., ORLANDO, FL 32806

President

Name Role Address
DIEZ, MAURO President 1122 LK WILLISARA CIR, ORLANDO, FL 32806

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
REGISTERED AGENT NAME CHANGED 2002-05-22 DIEZ, MAURO No data
REGISTERED AGENT ADDRESS CHANGED 2002-05-22 1122 LAKE WILLISARA CIR., ORLANDO, FL 32806 No data
CHANGE OF PRINCIPAL ADDRESS 1994-05-01 22 W LAKE BEAUTY DRIVE, SUITE 215, ORLANDO, FL 32806 No data
CHANGE OF MAILING ADDRESS 1994-05-01 22 W LAKE BEAUTY DRIVE, SUITE 215, ORLANDO, FL 32806 No data

Documents

Name Date
ANNUAL REPORT 2019-01-29
ANNUAL REPORT 2018-02-12
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-02-09
ANNUAL REPORT 2015-01-21
ANNUAL REPORT 2014-03-10
ANNUAL REPORT 2013-01-28
ANNUAL REPORT 2012-03-22
ANNUAL REPORT 2011-04-28
ANNUAL REPORT 2010-04-07

Date of last update: 03 Feb 2025

Sources: Florida Department of State