| Entity Name: | HAROLD M. REHBEIN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 30 Nov 1978 (46 years ago) |
| Document Number: | 595827 |
| FEI/EIN Number | 591876808 |
| Address: | 5757 BOOTH RD, #200, JACKSONVILLE, FL, 32223, US |
| Mail Address: | 3613 HAGAN GRANT LANE, JACKSONVILLE, FL, 32223, US |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376527937 | 2005-12-06 | 2007-10-04 | 5757 BOOTH RD, #200, JACKSONVILLE, FL, 322075980, US | 5757 BOOTH RD, #200, JACKSONVILLE, FL, 322075980, US | |||||||||||||||||||
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| Phone | +1 904-730-0078 |
| Fax | 9047300322 |
Authorized person
| Name | DR. HAROLD M REHBEIN |
| Role | PHYSICIAN |
| Phone | 9047300078 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| License Number | ME0017350 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REHBEIN, HAROLD M. | Agent | 5757 BOOTH ROAD, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| REHBEIN, HAROLD M. | President | 5757 BOOTH ROAD 200, JACKSONVILLE, FL |
| Name | Role | Address |
|---|---|---|
| REHBEIN, HAROLD M. | Director | 5757 BOOTH ROAD 200, JACKSONVILLE, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
