| Entity Name: | MARC S. BERGER, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 05 Oct 2001 (23 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | P01000098042 |
| FEI/EIN Number | 593748646 |
| Address: | 7855 ARGYLE FOREST BLVD., SUITE 302, JACKSONVILLE, FL, 32224 |
| Mail Address: | 7855 ARGYLE FOREST BLVD., SUITE 302, JACKSONVILLE, FL, 32224, US |
| ZIP code: | 32224 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114936044 | 2006-08-07 | 2008-09-18 | 7855 ARGYLE FOREST BLVD, SUITE 302, JACKSONVILLE, FL, 322445596, US | 7855 ARGYLE FOREST BLVD, SUITE 302, JACKSONVILLE, FL, 322445596, US | |||||||||||||||||||||||||
|
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| Phone | +1 904-594-6044 |
| Fax | 9045946042 |
Authorized person
| Name | MARC STUART BERGER |
| Role | PRESIDENT |
| Phone | 9045946044 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 271683600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BERGER MARC S | Agent | 7855 ARGYLE FOREST BLVD, JACKSONVILLE, FL, 32244 |
| Name | Role | Address |
|---|---|---|
| BERGER MARC S | Director | 7855 ARGYLE FOREST BLVD, JACKSONVILLE, FL, 32244 |
| Name | Role | Address |
|---|---|---|
| BERGER MARC S | President | 7855 ARGYLE FOREST BLVD, JACKSONVILLE, FL, 32244 |
| Name | Role | Address |
|---|---|---|
| BERGER MARC S | Secretary | 7855 ARGYLE FOREST BLVD, JACKSONVILLE, FL, 32244 |
| Name | Role | Address |
|---|---|---|
| BERGER MARC S | Treasurer | 7855 ARGYLE FOREST BLVD, JACKSONVILLE, FL, 32244 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-29 | 7855 ARGYLE FOREST BLVD., SUITE 302, JACKSONVILLE, FL 32224 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-03-06 | 7855 ARGYLE FOREST BLVD., SUITE 302, JACKSONVILLE, FL 32224 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-07-05 | 7855 ARGYLE FOREST BLVD, SUITE 302, JACKSONVILLE, FL 32244 | No data |
| REINSTATEMENT | 2003-12-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2003-12-03 | BERGER, MARC S | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-09-21 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-04-22 |
| ANNUAL REPORT | 2014-02-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
