| Entity Name: | LEON ROTH, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 24 Sep 1981 (43 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | F46038 |
| FEI/EIN Number | 59-2119995 |
| Address: | 2500 E. HALLANDALE BEACH BLVD, M, HALLANDALE, FL 33009 |
| Mail Address: | 2500 E. HALLANDALE BEACH BLVD, M, HALLANDALE, FL 33009 |
| ZIP code: | 33009 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861795221 | 2010-12-07 | 2010-12-07 | 2500 E HALLANDALE BEACH BLVD, SUIT Q,R, HALLANDALE BEACH, FL, 330094834, US | 2500 E HALLANDALE BEACH BLVD, SUIT Q,R, HALLANDALE BEACH, FL, 330094834, US | |||||||||||||||||||
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| Phone | +1 954-455-2385 |
| Fax | 9544545994 |
Authorized person
| Name | MRS. DEBRA FEAGIN |
| Role | ADMINISTRATOR |
| Phone | 9544552385 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME18438 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROTH, LEON MD | Agent | 2500 E. HALLANDALE BEACH BLVD, M, HALLANDALE, FL 33009 |
| Name | Role | Address |
|---|---|---|
| ROTH, LEON MD | President | 2500 E. HALLANDALE BEACH BLVD, STE M, HALLANDALE, FL 33009 |
| Name | Role | Address |
|---|---|---|
| ROTH, FLORENCE L | Secretary | 2500 E. HALLANDALE BEACH BLVD, STE M, HALLANDALE, FL 33009 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REINSTATEMENT | 2013-10-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-03-30 | 2500 E. HALLANDALE BEACH BLVD, M, HALLANDALE, FL 33009 | No data |
| CHANGE OF MAILING ADDRESS | 2011-03-30 | 2500 E. HALLANDALE BEACH BLVD, M, HALLANDALE, FL 33009 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-03-30 | 2500 E. HALLANDALE BEACH BLVD, M, HALLANDALE, FL 33009 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2013-10-07 |
| ANNUAL REPORT | 2012-03-23 |
| ANNUAL REPORT | 2011-03-30 |
| ANNUAL REPORT | 2010-04-20 |
| ANNUAL REPORT | 2009-04-13 |
| ANNUAL REPORT | 2008-04-15 |
| ANNUAL REPORT | 2007-01-26 |
| ANNUAL REPORT | 2006-01-09 |
| ANNUAL REPORT | 2005-04-09 |
| ANNUAL REPORT | 2004-02-06 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
