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DAVID DRACHMAN, M.D., P.A.

Company Details

Entity Name: DAVID DRACHMAN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 16 Mar 1987 (38 years ago)
Document Number: J62078
FEI/EIN Number 59-2821882
Address: 17971 BISCAYNE BLVD, SUITE 205, AVENTURA, FL 33160
Mail Address: 17971 BISCAYNE BLVD, SUITE 205, AVENTURA, FL 33160
ZIP code: 33160
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144352303 2007-03-12 2008-07-24 17971 BISCAYNE BLVD, #205, AVENTURA, FL, 331602578, US 17971 BISCAYNE BLVD, #205, AVENTURA, FL, 331602578, US

Contacts

Phone +1 305-935-2990
Fax 3059351349

Authorized person

Name DAVID DRACHMAN
Role PRESIDENT
Phone 3059352990

Taxonomy

Taxonomy Code 207N00000X - Dermatology Physician
Is Primary Yes

Agent

Name Role Address
DRACHMAN, DAVID Agent 17971 BISCAYNE BLVD., SUITE 205, AVENTURA, FL 33160

Director

Name Role Address
DRACHMAN, DAVID Director 17971 BISCAYNE BLVD., AVENTURA, FL 33160

President

Name Role Address
DRACHMAN, DAVID President 17971 BISCAYNE BLVD., AVENTURA, FL 33160

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000121666 DRACHMAN DERMATOLOGY EXPIRED 2013-12-12 2018-12-31 No data 17971 BISCAYNE BLVD., SUITE 205, AVENTURA, FL, 33160

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2004-01-04 17971 BISCAYNE BLVD, SUITE 205, AVENTURA, FL 33160 No data
CHANGE OF MAILING ADDRESS 2004-01-04 17971 BISCAYNE BLVD, SUITE 205, AVENTURA, FL 33160 No data
REGISTERED AGENT ADDRESS CHANGED 2001-01-30 17971 BISCAYNE BLVD., SUITE 205, AVENTURA, FL 33160 No data

Documents

Name Date
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-02-10
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-07-27
ANNUAL REPORT 2020-05-24
ANNUAL REPORT 2019-05-06
ANNUAL REPORT 2018-03-26
ANNUAL REPORT 2017-06-30
ANNUAL REPORT 2016-04-18
ANNUAL REPORT 2015-04-26

Date of last update: 04 Feb 2025

Sources: Florida Department of State