| Entity Name: | ALAN H. MANDELL P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 09 Feb 1987 (38 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 19 Nov 2018 (6 years ago) |
| Document Number: | J56168 |
| FEI/EIN Number | 59-2767119 |
| Address: | 7668 Foxcroft Lane, Davie, FL 33328 |
| Mail Address: | 7668 Foxcroft Lane, Davie, FL 33328 |
| ZIP code: | 33328 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538333125 | 2008-04-15 | 2011-04-26 | 20334 NW 2ND AVE, MIAMI, FL, 331692503, US | 20334 NW 2ND AVE, MIAMI, FL, 331692503, US | |||||||||||||||||||||||||||
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| Phone | +1 305-654-9100 |
Authorized person
| Name | DR. ALAN H MANDELL |
| Role | PRESIDENT |
| Phone | 3056549100 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH5138 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE GROUP |
| Number | 39941 |
| Issuer | MEDICAID |
| Number | 380103900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MANDELL, ALAN H | Agent | 7668 Foxcroft Lane, Davie, FL 33328 |
| Name | Role | Address |
|---|---|---|
| MANDELL, ALAN H. | President | 7668 Foxcroft Lane, Davie, FL 33328 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000059540 | MANDELL CHIROPRACTIC CENTRE | ACTIVE | 2017-05-30 | 2027-12-31 | No data | 20334 NW 2ND AVE, MIAMI, FL, 33169--250 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-02 | 7668 Foxcroft Lane, Davie, FL 33328 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-12 | 7668 Foxcroft Lane, Davie, FL 33328 | No data |
| CHANGE OF MAILING ADDRESS | 2022-10-12 | 7668 Foxcroft Lane, Davie, FL 33328 | No data |
| NAME CHANGE AMENDMENT | 2018-11-19 | ALAN H. MANDELL P.A. | No data |
| CANCEL ADM DISS/REV | 2009-11-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 1993-02-18 | MANDELL, ALAN H | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-02-07 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-03-05 |
| Name Change | 2018-11-19 |
| ANNUAL REPORT | 2018-01-20 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-02-03 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
