| Entity Name: | CALVIN S. ROSENFELD, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 May 2000 (25 years ago) |
| Date of dissolution: | 03 Dec 2021 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 03 Dec 2021 (3 years ago) |
| Document Number: | P00000047025 |
| FEI/EIN Number | 651009348 |
| Address: | 3700 WASHINGTON STREET, SUITE #100, HOLLYWOOD, FL, 33021 |
| Mail Address: | 3700 WASHINGTON STREET, SUITE #100, HOLLYWOOD, FL, 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831409796 | 2010-10-13 | 2010-10-20 | 3700 WASHINGTON ST, SUITE 100, HOLLYWOOD, FL, 330218256, US | 3700 WASHINGTON ST, SUITE 100, HOLLYWOOD, FL, 330218256, US | |||||||||||||||||||||||||
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| Phone | +1 954-983-6307 |
| Fax | 9549835809 |
Authorized person
| Name | DR. CALVIN STUART ROSENFELD |
| Role | MEDICAL DOCTOR |
| Phone | 9549836307 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME0037885 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 372136100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Rosenfeld Calvin SDr. | Agent | 3700 WASHINGTON ST, Hollywood, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| ROSENFELD CALVIN S | Director | 3700 WASHINGTON ST #100, HOLLYWOOD, FL, 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-12-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-01-26 | Rosenfeld, Calvin S, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-01-26 | 3700 WASHINGTON ST, Suite 100, Hollywood, FL 33021 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2000-06-05 | 3700 WASHINGTON STREET, SUITE #100, HOLLYWOOD, FL 33021 | No data |
| CHANGE OF MAILING ADDRESS | 2000-06-05 | 3700 WASHINGTON STREET, SUITE #100, HOLLYWOOD, FL 33021 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-12-03 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-01-26 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-01-15 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-01-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
