| Entity Name: | DAVID G. CISLO, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
DAVID G. CISLO, D.O., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 05 Aug 1992 (33 years ago) |
| Date of dissolution: | 24 Sep 2010 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (15 years ago) |
| Document Number: | V55358 |
| FEI/EIN Number |
650356703
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 13815 TAMIAMI TRL, NORTH PORT, FL, 34287 |
| Mail Address: | 13815 TAMIAMI TRL, NORTH PORT, FL, 34287 |
| ZIP code: | 34287 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346356854 | 2006-08-21 | 2020-08-22 | 13815 TAMIAMI TRL, NORTH PORT MEDICAL CENTER, NORTH PORT, FL, 342872069, US | 13815 TAMIAMI TRL, NORTH PORT MEDICAL CENTER, NORTH PORT, FL, 342872069, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 941-426-4900 |
| Fax | 9414263994 |
Authorized person
| Name | MRS. MICHELLE A ROBILLARD |
| Role | PRACTICE ADMINISTRATOR |
| Phone | 9414264900 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS5665 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | OS6317 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| License Number | ARNP3380712 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CISLO, DAVID G | Secretary | 13815 TAMIAMI TRL, NORTH PORT, FL, 34287 |
| CISLO, DAVID G | Treasurer | 13815 TAMIAMI TRL, NORTH PORT, FL, 34287 |
| CISLO, DAVID G | Agent | 13815 TAMIAMI TRL, NORTH PORT, FL, 34287 |
| CISLO, DAVID G | President | 13815 TAMIAMI TRL, NORTH PORT, FL, 34287 |
| GUTIERREZ ROBERT F | Vice President | 13815 TAMIAMI TRL, NORTH PORT, FL, 34287 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2006-02-15 | 13815 TAMIAMI TRL, NORTH PORT, FL 34287 | - |
| CHANGE OF MAILING ADDRESS | 2006-02-15 | 13815 TAMIAMI TRL, NORTH PORT, FL 34287 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2006-02-15 | 13815 TAMIAMI TRL, NORTH PORT, FL 34287 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-06-25 |
| ANNUAL REPORT | 2008-03-13 |
| ANNUAL REPORT | 2007-02-22 |
| ANNUAL REPORT | 2006-02-15 |
| ANNUAL REPORT | 2005-01-24 |
| ANNUAL REPORT | 2004-02-04 |
| ANNUAL REPORT | 2003-01-21 |
| ANNUAL REPORT | 2002-02-04 |
| ANNUAL REPORT | 2001-07-12 |
| ANNUAL REPORT | 2000-02-24 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
