| Entity Name: | STEVEN D. FAYNE, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Jan 2002 (23 years ago) |
| Document Number: | P02000008451 |
| FEI/EIN Number | 030455210 |
| Address: | 8890 WEST OAKLAND PARK BLVD SUITE 100, SUNRISE, FL, 33351, US |
| Mail Address: | 8890 WEST OAKLAND PARK BLVD SUITE 100, SUNRISE, FL, 33351, US |
| ZIP code: | 33351 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720385362 | 2011-02-17 | 2011-02-17 | 8890 W OAKLAND PARK BLVD, 100, SUNRISE, FL, 333517235, US | 8890 W OAKLAND PARK BLVD, 100, SUNRISE, FL, 333517235, US | |||||||||||||||||||
|
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| Phone | +1 954-741-3305 |
| Fax | 9547413306 |
Authorized person
| Name | SHAWN BRADLEY |
| Role | OFFICE MANAGER |
| Phone | 9547413305 |
Taxonomy
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| License Number | ME0042650 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FAYNE STEVEN DDr. | Agent | 2927 PADDOCK LN, WESTON, FL, 33331 |
| Name | Role | Address |
|---|---|---|
| FAYNE STEVEN D | President | 2927 PADDOCK LN., WESTON, FL, 33331 |
| Name | Role | Address |
|---|---|---|
| FAYNE STEVEN D | Treasurer | 2927 PADDOCK LN., WESTON, FL, 33331 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2018-03-19 | FAYNE, STEVEN D, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-19 | 2927 PADDOCK LN, WESTON, FL 33331 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-03-12 | 8890 WEST OAKLAND PARK BLVD SUITE 100, SUNRISE, FL 33351 | No data |
| CHANGE OF MAILING ADDRESS | 2012-03-12 | 8890 WEST OAKLAND PARK BLVD SUITE 100, SUNRISE, FL 33351 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-03-30 |
| ANNUAL REPORT | 2018-03-19 |
| ANNUAL REPORT | 2017-03-22 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-03-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
