Entity Name: | KATZ, CASEY & LEVINE, M.D., P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 01 Mar 1974 (51 years ago) |
Document Number: | 605054 |
FEI/EIN Number | 591513826 |
Address: | 5700 N. FEDERAL HWY., #1, FT. LAUDERDALE, FL, 33308 |
Mail Address: | 5700 N. FEDERAL HWY., #1, FT. LAUDERDALE, FL, 33308 |
ZIP code: | 33308 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1043350457 | 2007-02-07 | 2020-08-22 | 5700 N FEDERAL HWY, SUITE 1, FT LAUDERDALE, FL, 333082600, US | 5700 N FEDERAL HWY, SUITE 1, FT LAUDERDALE, FL, 333082600, US | |||||||||||||||||||
|
Phone | +1 954-491-6400 |
Fax | 9547718835 |
Authorized person
Name | MARY JO JOHNSON |
Role | PRACTICE MANAGER |
Phone | 9544916400 |
Taxonomy
Taxonomy Code | 174400000X - Specialist |
License Number | 0068639 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
LAVENDER, MR JOEL | Agent | 507 SE 11 COURT, FT LUD, FL, 33316 |
Name | Role | Address |
---|---|---|
KATZ, ARMAND H MD | President | 5700 N. FEDERAL HWY #1, FT LAUDERDALE, FL 00000 |
Name | Role | Address |
---|---|---|
CASEY, JOSEPH J M.D. | Vice President | 5700 N FEDERAL HWY 1, FT LAUDERDALE, FL 00000 |
Name | Role | Address |
---|---|---|
ROBERTS JOHN M | Secretary | 5700 N FEDERAL HWY 1, FORT LAUDERDALE, FL, 33308 |
Name | Role | Address |
---|---|---|
ROBERTS JOHN M | Treasurer | 5700 N FEDERAL HWY 1, FORT LAUDERDALE, FL, 33308 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2007-08-30 | No data | No data |
NAME CHANGE AMENDMENT | 1989-09-29 | KATZ, CASEY & LEVINE, M.D., P.A. | No data |
NAME CHANGE AMENDMENT | 1987-04-29 | BEDERMAN, KATZ & CASEY, M.D., P.A. | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State