| Entity Name: | EVAN G. ROSEN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Oct 2000 (24 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P00000096329 |
| FEI/EIN Number | 651046329 |
| Address: | 2141 ALTERNATE A1A, SUITE 420, JUPITER, FL, 33477 |
| Mail Address: | 2141 ALTERNATE A1A, SUITE 420, JUPITER, FL, 33477 |
| ZIP code: | 33477 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932333911 | 2009-05-06 | 2009-07-09 | 2141 S ALTERNATE A1A, SUITE 420, JUPITER, FL, 334774072, US | 2141 S ALTERNATE A1A, SUITE 420, JUPITER, FL, 334774072, US | |||||||||||||||
|
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| Phone | +1 561-743-5580 |
| Fax | 5617435595 |
Authorized person
| Name | DR. EVAN G ROSEN |
| Role | PRESIDENT/OWNER |
| Phone | 5617435580 |
Taxonomy
| Taxonomy Code | 208800000X - Urology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROSEN EVAN GDr. | Agent | 2141 ALTERNATE A1A, JUPITER, FL, 33477 |
| Name | Role | Address |
|---|---|---|
| ROSEN EVAN GDr. | President | 1300 A1A, JUPITER, FL, 33477 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-08 | ROSEN, EVAN G, Dr. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2001-04-03 | 2141 ALTERNATE A1A, SUITE 420, JUPITER, FL 33477 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2001-04-03 | 2141 ALTERNATE A1A, SUITE 420, JUPITER, FL 33477 | No data |
| CHANGE OF MAILING ADDRESS | 2001-02-26 | 2141 ALTERNATE A1A, SUITE 420, JUPITER, FL 33477 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-08 |
| ANNUAL REPORT | 2014-03-27 |
| ANNUAL REPORT | 2013-02-12 |
| ANNUAL REPORT | 2012-02-10 |
| ANNUAL REPORT | 2011-04-06 |
| ANNUAL REPORT | 2010-03-08 |
| ANNUAL REPORT | 2009-04-07 |
| ANNUAL REPORT | 2008-05-05 |
| ANNUAL REPORT | 2007-01-15 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
