| Entity Name: | JEFF ROSNER, D.C., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Nov 1984 (40 years ago) |
| Document Number: | H29775 |
| FEI/EIN Number | 592459318 |
| Address: | % JEFFREY H. ROSNER, 822 DEL PRADO BLVD., S., CAPE CORAL, FL, 33990, US |
| Mail Address: | % JEFFREY H. ROSNER, 822 DEL PRADO BLVD., S., CAPE CORAL, FL, 33990, US |
| ZIP code: | 33990 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164793444 | 2012-01-19 | 2012-01-19 | 822 DEL PRADO BLVD S, CAPE CORAL, FL, 339902687, US | 822 DEL PRADO BLVD S, CAPE CORAL, FL, 339902687, US | |||||||||||||||||||||||||
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| Phone | +1 239-574-3432 |
| Fax | 2395743098 |
Authorized person
| Name | DR. JEFFREY H ROSNER |
| Role | DIRECTOR |
| Phone | 2395743432 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH0004054 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 050268500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROSNER JEFF HDC,PA | Agent | 822 DEL PRADO BLVD., S., CAPE CORAL, FL, 33990 |
| Name | Role | Address |
|---|---|---|
| ROSNER, JEFFREY H. | Director | 822 DEL PRADO BLVD., S., CAPE CORAL, FL, 33990 |
| Name | Role | Address |
|---|---|---|
| ROSNER, JEFFREY H. | President | 822 DEL PRADO BLVD., S., CAPE CORAL, FL, 33990 |
| Name | Role | Address |
|---|---|---|
| ROSNER, JEFFREY H. | Treasurer | 822 DEL PRADO BLVD., S., CAPE CORAL, FL, 33990 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2016-10-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| PENDING REINSTATEMENT | 2014-09-25 | No data | No data |
| REINSTATEMENT | 2014-09-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
