| Entity Name: | LESLIE SHAWN, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 08 Oct 1981 (43 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 07 Feb 2012 (13 years ago) |
| Document Number: | F47856 |
| FEI/EIN Number | 59-2150091 |
| Address: | 500 NORTH HIATUS ROAD, STE. 203, PEMBROKE PINES, FL 33026 |
| Mail Address: | 500 NORTH HIATUS ROAD, STE. 203, PEMBROKE PINES, FL 33026 |
| ZIP code: | 33026 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295024636 | 2011-04-06 | 2011-04-06 | 400 N HIATUS RD, SUITE 201, PEMBROKE PINES, FL, 330265214, US | 400 N HIATUS RD, SUITE 201, PEMBROKE PINES, FL, 330265214, US | |||||||||||||||
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| Phone | +1 954-442-3434 |
| Fax | 9544414425 |
Authorized person
| Name | LESLIE GORDON SHAWN |
| Role | PHYSICIAN |
| Phone | 9544423434 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHAWN, LESLIE D.O. | Agent | 500 N HIATUS RD, 203, PEMBROKE PINES, FL 33026 |
| Name | Role | Address |
|---|---|---|
| SHAWN, LESLIE | President | 500 N HIATUS RD #203, PEMBROKE, FL 33026 |
| Name | Role | Address |
|---|---|---|
| SHAWN, LESLIE | Director | 500 N HIATUS RD #203, PEMBROKE, FL 33026 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-15 | 500 NORTH HIATUS ROAD, STE. 203, PEMBROKE PINES, FL 33026 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-15 | 500 NORTH HIATUS ROAD, STE. 203, PEMBROKE PINES, FL 33026 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-15 | 500 N HIATUS RD, 203, PEMBROKE PINES, FL 33026 | No data |
| REINSTATEMENT | 2012-02-07 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2012-02-07 | SHAWN, LESLIE D.O. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-07 |
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-03-07 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
