| Entity Name: | MEDICAL AFFILIATES, INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 Jul 1979 (46 years ago) |
| Document Number: | 629381 |
| FEI/EIN Number | 000000000 |
| Address: | 1782 ONE BISCAYNE TOWER, TWO S BISCAYNE BLVD, MIAMI FL, 33131 |
| Mail Address: | 1782 ONE BISCAYNE TOWER, TWO S BISCAYNE BLVD, MIAMI FL, 33131 |
| ZIP code: | 33131 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649678699 | 2014-12-08 | 2014-12-08 | 50 NE 26TH AVE STE 203, POMPANO BEACH, FL, 330625226, US | 50 NE 26TH AVE STE 203, POMPANO BEACH, FL, 330625226, US | |||||||||||||||||||||
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| Phone | +1 954-781-6908 |
| Fax | 9547816909 |
Authorized person
| Name | DR. DANIEL L KAPLAN |
| Role | ADMINISTRATOR |
| Phone | 9547816908 |
Taxonomy
| Taxonomy Code | 261QP3300X - Pain Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | UPIN |
| Number | D79554 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GIRSCH, SUSAN M | Agent | 1782 ONE BISCAYNE TOWER, MIAMI FL |
| Name | Role | Address |
|---|---|---|
| CAVANAUGH, LARRY | Director | 10510 NW 21 ST, SUNRISE FL |
| MASON, JOHN | Director | 5801 SW 63 CT, MIAMI FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| INVOLUNTARILY DISSOLVED | 1980-12-08 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
