| Entity Name: | PETER D. SARBONE, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 01 Nov 1983 (41 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | G67532 |
| FEI/EIN Number | 59-2334665 |
| Address: | 3035 WINDSOR PLACE, BOCA RATON, FL 33434 |
| Mail Address: | 3035 WINDSOR PLACE, BOCA RATON, FL 33434 |
| ZIP code: | 33434 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417132176 | 2007-12-31 | 2007-12-31 | 5601 N. DIXIE HIGHWAY, SUITE #401, FORT LAUDERDALE, FL, 33334, US | 5601 N DIXIE HWY, SUITE #401, OAKLAND PARK, FL, 333344148, US | |||||||||||||||||||||||||||
|
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| Phone | +1 954-491-4304 |
| Fax | 9544914350 |
Authorized person
| Name | DR. PETER D SARBONE |
| Role | OWNER/PRESIDENT |
| Phone | 9544914304 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| License Number | ME39384 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207NS0135X - Procedural Dermatology Physician |
| License Number | ME39384 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SARBONE, PETER D., M.D. | Agent | 3035 WINDSOR PLACE, BOCA RATON, FL 33434 |
| Name | Role | Address |
|---|---|---|
| SARBONE, PETER D., M.D. | President | 3035 WINDSOR PLACE, BOCA RATON, FL 33434 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-16 | 3035 WINDSOR PLACE, BOCA RATON, FL 33434 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-16 | 3035 WINDSOR PLACE, BOCA RATON, FL 33434 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-16 | 3035 WINDSOR PLACE, BOCA RATON, FL 33434 | No data |
| REINSTATEMENT | 2011-12-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-04-15 |
| ANNUAL REPORT | 2016-03-31 |
| ANNUAL REPORT | 2015-03-04 |
| ANNUAL REPORT | 2014-04-16 |
| ANNUAL REPORT | 2013-02-19 |
| ANNUAL REPORT | 2012-03-05 |
| REINSTATEMENT | 2011-12-14 |
| ANNUAL REPORT | 2010-01-11 |
| ANNUAL REPORT | 2009-04-21 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
