| Entity Name: | PAUL J. PETERS, D.P.M., P.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Inactive |
| Date Filed: | 12 Sep 1994 (30 years ago) |
| Document Number: | F94000004695 |
| FEI/EIN Number | 381894698 |
| Address: | 210 JUPITER LAKES BLVD, STE 4106, JUPITER, FL, 33458, US |
| Mail Address: | P.O. BOX 1940, JUPITER, FL, 33468, US |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | MICHIGAN |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134424799 | 2011-01-12 | 2011-05-02 | PO BOX 1940, JUPITER, FL, 334681940, US | 210 JUPITER LAKES BLVD STE 4106, JUPITER LAKES MEDICAL PARK, JUPITER, FL, 334587190, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 561-744-6677 |
| Fax | 5617441416 |
Authorized person
| Name | DR. PAUL J PETERS |
| Role | OWNER |
| Phone | 5617446677 |
Taxonomy
| Taxonomy Code | 213ES0131X - Foot Surgery Podiatrist |
| License Number | PO 528 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PETERS PAUL J | Agent | 77 LIGHTHOUSE DRIVE, JUPITER, FL, 33469 |
| Name | Role | Address |
|---|---|---|
| PETERS PAUL J | President | 77 LIGHTHOUSE DR JIC, JUPITER, FL, 33469 |
| Name | Role | Address |
|---|---|---|
| PETERS JUDITH B | Secretary | 77 LIGHTHOUSE DR, JUPITER, FL, 33469 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
