| Entity Name: | EDWARD S. TRUPPMAN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Jan 1988 (37 years ago) |
| Document Number: | K12516 |
| FEI/EIN Number | 650025667 |
| Address: | 3802 NE 207 Street, AVENTURA, FL, 33180, US |
| Mail Address: | POB 630188, MIAMI, FL, 33163, US |
| ZIP code: | 33180 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578632618 | 2006-11-06 | 2020-08-22 | PO BOX 630188, MIAMI, FL, 331630188, US | 12575 ORANGE DR, 301, DAVIE, FL, 333304302, US | |||||||||||||||||||
|
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| Phone | +1 954-888-1821 |
| Fax | 9548881832 |
Authorized person
| Name | EDWARD STANLEY TRUPPMAN |
| Role | PRESIDENT |
| Phone | 9548881821 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME6908 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TRUPPMAN EDWARD S | Agent | 3802 NE 207 Street, AVENTURA, FL, 33180 |
| Name | Role | Address |
|---|---|---|
| Truppman Patricia | Auth | POB 630188, MIAMI, FL, 33163 |
| Name | Role | Address |
|---|---|---|
| TRUPPMAN EDWARD S | Director | 3802 NE 207 Street, AVENTURA, FL, 33180 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REINSTATEMENT | 2012-03-22 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
