| Entity Name: | MASON HERSHORIN, MSN. ARNP., INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 25 Jul 2001 (24 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Sep 2023 (a year ago) |
| Document Number: | P01000073023 |
| FEI/EIN Number | N/A |
| Address: | 4801 South University Dr., STE 217, Davie, FL 33328 |
| Mail Address: | 311 SOUTHWEST 99TH TERRACE, PEMBROKE PINES, FL 33025 |
| ZIP code: | 33328 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710335310 | 2016-05-25 | 2016-05-25 | 4217 SW 64TH AVE, SUITE #1, DAVIE, FL, 333143446, US | 4217 SW 64TH AVE, SUITE #1, DAVIE, FL, 333143446, US | |||||||||||||||
|
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| Phone | +1 954-432-1812 |
Authorized person
| Name | NICOLAS NIETO |
| Role | MEDICAL ASSISTANT |
| Phone | 9544321812 |
Taxonomy
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Hershorin, Mason | Agent | 1840 SOUTHWEST 22 STREET, 4TH FLOOR, MIAMI, FL 33145 |
| Name | Role | Address |
|---|---|---|
| HERSHORIN, MASON P | Vice President | 4801 South University Dr., STE 217 Davie, FL 33328 |
| Name | Role | Address |
|---|---|---|
| Rodriguez, Elizabeth | President | 4801 South University Dr., STE 217 Davie, FL 33328 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-09-27 | Hershorin, Mason | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-27 | 4801 South University Dr., STE 217, Davie, FL 33328 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| AMENDED ANNUAL REPORT | 2023-10-23 |
| REINSTATEMENT | 2023-09-27 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-28 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-02-13 |
Date of last update: 31 Jan 2025
Sources: Florida Department of State
