| Entity Name: | DR. SCOTT S. FOSTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 23 Sep 1981 (43 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | F45839 |
| FEI/EIN Number | 59-2140213 |
| Address: | SCOTT S FOSTER, 2030 WASHINGTON STREET, HOLLYWOOD, FL 33020 |
| Mail Address: | SCOTT S FOSTER, 2030 WASHINGTON STREET, HOLLYWOOD, FL 33020 |
| ZIP code: | 33020 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568543403 | 2006-10-18 | 2007-11-12 | 2030 WASHINGTON ST, HOLLYWOOD, FL, 330206930, US | 2030 WASHINGTON ST, HOLLYWOOD, FL, 330206930, US | |||||||||||||||||||||||||
|
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| Phone | +1 954-925-7333 |
| Fax | 9549257339 |
Authorized person
| Name | SCOTT FOSTER |
| Role | OWNER |
| Phone | 9549257333 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH0003475 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0505960400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FOSTER, SCOTT S | Agent | 2030 WASHINGTON STREET, HOLLYWOOD, FL 33020 |
| Name | Role | Address |
|---|---|---|
| FOSTER, SCOTT S | President | 2030 WASHINGTON STREET, HOLLYWOOD, FL 33020 |
| Name | Role | Address |
|---|---|---|
| FOSTER, SCOTT S | Secretary | 2030 WASHINGTON STREET, HOLLYWOOD, FL 33020 |
| Name | Role | Address |
|---|---|---|
| FOSTER, SCOTT S | Director | 2030 WASHINGTON STREET, HOLLYWOOD, FL 33020 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CANCEL ADM DISS/REV | 2009-11-04 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-11-04 | SCOTT S FOSTER, 2030 WASHINGTON STREET, HOLLYWOOD, FL 33020 | No data |
| CHANGE OF MAILING ADDRESS | 2009-11-04 | SCOTT S FOSTER, 2030 WASHINGTON STREET, HOLLYWOOD, FL 33020 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-19 |
| ANNUAL REPORT | 2010-04-30 |
| REINSTATEMENT | 2009-11-04 |
| ANNUAL REPORT | 2008-04-28 |
| ANNUAL REPORT | 2007-04-20 |
| ANNUAL REPORT | 2006-04-14 |
| ANNUAL REPORT | 2005-04-25 |
| ANNUAL REPORT | 2004-07-13 |
| ANNUAL REPORT | 2003-04-03 |
| ANNUAL REPORT | 2002-04-02 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
