| Entity Name: | DAVID M. FELDBAUM, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Mar 2002 (23 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 30 Nov 2010 (14 years ago) |
| Document Number: | P02000025874 |
| FEI/EIN Number | 043606654 |
| Address: | 2205 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024 |
| Mail Address: | 2205 N University Drive, PEMBROKE PINES, FL, 33024, US |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851389480 | 2005-10-07 | 2009-07-21 | 2205 N UNIVERSITY DR, PEMBROKE PINES, FL, 330243611, US | 2205 N UNIVERSITY DR, PEMBROKE PINES, FL, 330243611, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 954-964-6684 |
| Fax | 9549646649 |
Authorized person
| Name | DR. DAVID MICHAEL FELDBAUM |
| Role | PRESIDENT |
| Phone | 9549646684 |
Taxonomy
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| License Number | ME79347 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FELDBAUM DAVID M | Agent | 2205 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| FELDBAUM DAVID M | Director | 2205 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2013-04-24 | 2205 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL 33024 | No data |
| REINSTATEMENT | 2010-11-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-03-23 | 2205 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL 33024 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-03-23 | 2205 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL 33024 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-05-03 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-03-29 |
| ANNUAL REPORT | 2015-03-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
