| Entity Name: | MITCHELL S. ROTHSTEIN, M.D., INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Aug 2000 (24 years ago) |
| Document Number: | P00000081497 |
| FEI/EIN Number | 593665561 |
| Address: | 1030 MAPLE LANE, JACKSONVILLE, FL, 32207, US |
| Mail Address: | 8834-F Goodby's Exec Dr, JACKSONVILLE, FL, 32217, US |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255502969 | 2008-03-20 | 2008-03-20 | P O BOX 380009, JACKSONVILLE, FL, 32205, US | 1939 RIVER RD, JACKSONVILLE, FL, 32207, US | |||||||||||||||||||
|
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| Phone | +1 904-388-3357 |
| Fax | 9043845746 |
Authorized person
| Name | HELEN H VANHOUTEN |
| Role | ACCOUNT SPECIALIST |
| Phone | 9043883357 |
Taxonomy
| Taxonomy Code | 207RS0012X - Sleep Medicine (Internal Medicine) Physician |
| License Number | ME0050862 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PayWrite Systems Inc//dba Roy Miller & Ass | Agent | 8834-F Goodby's Exec Dr, JACKSONVILLE, FL, 32217 |
| Name | Role | Address |
|---|---|---|
| ROTHSTEIN MITCHELL S | P;D | 1030 Maple Lane, JACKSONVILLE, FL, 32207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2018-04-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CANCEL ADM DISS/REV | 2008-10-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CANCEL ADM DISS/REV | 2007-10-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CANCEL ADM DISS/REV | 2004-10-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
