| Entity Name: | MARK A. PARSHALL, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Jul 2002 (23 years ago) |
| Date of dissolution: | 14 Sep 2007 (17 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (17 years ago) |
| Document Number: | P02000072806 |
| FEI/EIN Number | 061638564 |
| Address: | 9750 N W 33RD STREET, STE 216, CORAL SPRINGS, FL, 33065 |
| Mail Address: | 7800 W OAKLAND PARK BLVD., E-214, SUNRISE, FL, 33351 |
| ZIP code: | 33065 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801831433 | 2006-06-18 | 2020-08-22 | 9750 NW 33RD ST, SUITE 216, CORAL SPRINGS, FL, 330654042, US | 9750 NW 33RD ST, SUITE 216, CORAL SPRINGS, FL, 330654042, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 954-755-5504 |
| Fax | 9547557052 |
Authorized person
| Name | DEBRA ENGEL |
| Role | REGIONAL OPERATIONS MANGER |
| Phone | 9547555504 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC/BS GROUP NUMBER |
| Number | 97344 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DI CAPUA JOSEPH J | Agent | 7800 W OAKLAND PARK BLVD., SUNRISE, FL, 33351 |
| Name | Role | Address |
|---|---|---|
| PARSHALL MARK A | President | 9750 NW 33 RD STREET, SUITE216, CORAL SPRINGS, FL, 33065 |
| Name | Role | Address |
|---|---|---|
| PARSHALL MARK A | Treasurer | 9750 NW 33 RD STREET, SUITE216, CORAL SPRINGS, FL, 33065 |
| Name | Role | Address |
|---|---|---|
| DI CAPUA JOSEPH | Vice President | 7800 W OAKLAND PARK BLVD., E-214, SUNRISE, FL, 33351 |
| Name | Role | Address |
|---|---|---|
| DI CAPUA JOSEPH | Secretary | 7800 W OAKLAND PARK BLVD., E-214, SUNRISE, FL, 33351 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2006-01-17 | 9750 N W 33RD STREET, STE 216, CORAL SPRINGS, FL 33065 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-01-17 | 7800 W OAKLAND PARK BLVD., E-214, SUNRISE, FL 33351 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-04-19 | DI CAPUA, JOSEPH J | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2003-04-28 | 9750 N W 33RD STREET, STE 216, CORAL SPRINGS, FL 33065 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2006-01-17 |
| ANNUAL REPORT | 2005-04-19 |
| ANNUAL REPORT | 2004-04-21 |
| ANNUAL REPORT | 2003-04-28 |
| Reg. Agent Change | 2002-08-05 |
| Domestic Profit | 2002-07-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
