| Entity Name: | DAVID J. LEVENS, M.D.,P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 30 Jun 1989 (36 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Oct 2013 (11 years ago) |
| Document Number: | K99182 |
| FEI/EIN Number | 65-0135085 |
| Address: | 1725 UNIVERSITY DR., Ste 300, CORAL SPRINGS, FL 33071 |
| Mail Address: | 1725 UNIVERSITY DR., Ste 300, CORAL SPRINGS, FL 33071 |
| ZIP code: | 33071 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073836201 | 2010-03-02 | 2010-03-02 | 1725 N UNIVERSITY DR, SUITE 300, CORAL SPRINGS, FL, 330716089, US | 1725 N UNIVERSITY DR, SUITE 300, CORAL SPRINGS, FL, 330716089, US | |||||||||||||||||||||||||
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| Phone | +1 954-752-1020 |
| Fax | 9547520717 |
Authorized person
| Name | DR. DAVID LEVENS |
| Role | OWNER/PRESIDENT |
| Phone | 9547521020 |
Taxonomy
| Taxonomy Code | 2086S0122X - Plastic and Reconstructive Surgery Physician |
| License Number | ME0056275 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 038416000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LEVENS, LINDA K. | Agent | 1725 UNIVERSITY DR., Ste 300, CORAL SPRINGS, FL 33071 |
| Name | Role | Address |
|---|---|---|
| LEVENS, DAVID J. | President | 1725 UNIVERSITY DR., Ste 300 CORAL SPRINGS, FL 33071 |
| Name | Role | Address |
|---|---|---|
| LEVENS, DAVID J. | Secretary | 1725 UNIVERSITY DR., Ste 300 CORAL SPRINGS, FL 33071 |
| LEVENS, LINDA K. | Secretary | 1725 UNIVERSITY DR., Ste 300 CORAL SPRINGS, FL 33071 |
| Name | Role | Address |
|---|---|---|
| LEVENS, DAVID J. | Treasurer | 1725 UNIVERSITY DR., Ste 300 CORAL SPRINGS, FL 33071 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-06 | 1725 UNIVERSITY DR., Ste 300, CORAL SPRINGS, FL 33071 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-06 | 1725 UNIVERSITY DR., Ste 300, CORAL SPRINGS, FL 33071 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-06 | LEVENS, LINDA K. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-06 | 1725 UNIVERSITY DR., Ste 300, CORAL SPRINGS, FL 33071 | No data |
| REINSTATEMENT | 2013-10-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| AMENDMENT | 2008-09-08 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-04-15 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-04-06 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-03-24 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-06 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
