| Entity Name: | PHYSICIANS CLINICAL RESEARCH ALLIANCE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 27 Sep 2001 (23 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L01000016649 |
| FEI/EIN Number | 562351180 |
| Address: | 2825 NORTH STATE ROAD 7, 204, MARGATE, FL, 33063, US |
| Mail Address: | 2825 NORTH STATE ROAD 7, 204, MARGATE, FL, 33063, US |
| ZIP code: | 33063 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356506877 | 2008-07-24 | 2008-07-24 | 2825 N STATE ROAD 7, SUITE 204, MARGATE, FL, 330635737, US | 2825 N STATE ROAD 7, SUITE 204, MARGATE, FL, 330635737, US | |||||||||||||||||||
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| Phone | +1 954-935-1477 |
| Fax | 9549351422 |
Authorized person
| Name | MR. ROBERT S GORDON |
| Role | COO |
| Phone | 9546568855 |
Taxonomy
| Taxonomy Code | 246Z00000X - Other Specialist/Technologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICRE PTAN |
| Number | 40029 |
| Name | Role | Address |
|---|---|---|
| SHELOWITZ PAUL A | Agent | ONE SOUTHEAST THIRD AVENUE, MIAMI, FL, 33131 |
| Name | Role |
|---|---|
| RAFAEL RODRIGUEZ, M.D., P.A. | Managing Member |
| ERIC D. MOSKOW, M.D., P.A. | Managing Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2006-11-02 | SHELOWITZ, PAUL AESQ. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-11-02 | ONE SOUTHEAST THIRD AVENUE, 28TH FL, MIAMI, FL 33131 | No data |
| REINSTATEMENT | 2006-11-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2002-09-24 | 2825 NORTH STATE ROAD 7, 204, MARGATE, FL 33063 | No data |
| CHANGE OF MAILING ADDRESS | 2002-09-24 | 2825 NORTH STATE ROAD 7, 204, MARGATE, FL 33063 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-01-24 |
| ANNUAL REPORT | 2012-01-31 |
| ANNUAL REPORT | 2011-01-04 |
| ANNUAL REPORT | 2010-01-04 |
| ANNUAL REPORT | 2009-03-11 |
| ANNUAL REPORT | 2008-04-08 |
| ANNUAL REPORT | 2007-03-28 |
| REINSTATEMENT | 2006-11-02 |
| ANNUAL REPORT | 2003-05-05 |
| ANNUAL REPORT | 2002-09-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
