| Entity Name: | KENNETH A. HAMBERG, D.P.M., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 29 Dec 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: | F61438 |
| FEI/EIN Number | 59-2153463 |
| Address: | 1411 N. FLAGLER DRIVE, SUITE 6600, WEST PALM BEACH, FL 33401 |
| Mail Address: | 1411 N. FLAGLER DRIVE, SUITE 6600, WEST PALM BEACH, FL 33401 |
| ZIP code: | 33401 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093811762 | 2006-09-16 | 2008-05-15 | 1411 N FLAGLER DR, SUITE 6600, WEST PALM BEACH, FL, 334013427, US | 1411 N FLAGLER DR, SUITE 6600, WEST PALM BEACH, FL, 334013427, US | |||||||||||||||||||||||||||||||
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| Phone | +1 561-655-1026 |
| Fax | 5616597270 |
Authorized person
| Name | KENNETH A. HAMBERG |
| Role | PRESIDENT |
| Phone | 5616551026 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| License Number | PO-1330 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PALMETTO GBA |
| Number | 0777900001 |
| State | FL |
| Issuer | MEDICAID |
| Number | 041343700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HAMBERG, KENNETH A. | Agent | 1411 N. FLAGLER DR, SUITE 6600, WEST PALM BEACH, FL 33401 |
| Name | Role | Address |
|---|---|---|
| HAMBERG, KENNETH A. | President | 257 Spoonbill Lane N., JUPITER, FL 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-02-11 | 1411 N. FLAGLER DRIVE, SUITE 6600, WEST PALM BEACH, FL 33401 | No data |
| CHANGE OF MAILING ADDRESS | 2006-02-11 | 1411 N. FLAGLER DRIVE, SUITE 6600, WEST PALM BEACH, FL 33401 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-02-11 | 1411 N. FLAGLER DR, SUITE 6600, WEST PALM BEACH, FL 33401 | No data |
| NAME CHANGE AMENDMENT | 1987-12-31 | KENNETH A. HAMBERG, D.P.M., P.A. | No data |
| REGISTERED AGENT NAME CHANGED | 1987-06-09 | HAMBERG, KENNETH A. | No data |
| NAME CHANGE AMENDMENT | 1984-02-07 | FEINBERG, GELB AND HAMBERG, D.P.M., P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-02-06 |
| ANNUAL REPORT | 2012-01-09 |
| ANNUAL REPORT | 2011-01-18 |
| ANNUAL REPORT | 2010-01-13 |
| ANNUAL REPORT | 2009-01-15 |
| ANNUAL REPORT | 2008-01-11 |
| ANNUAL REPORT | 2007-02-02 |
| ANNUAL REPORT | 2006-02-11 |
| ANNUAL REPORT | 2005-02-28 |
| ANNUAL REPORT | 2004-02-09 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
