Search icon

DANIEL M. JACOBS, M.D., P.A. - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: DANIEL M. JACOBS, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 17 Jan 2003 (23 years ago)
Date of dissolution: 27 Sep 2019 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (6 years ago)
Document Number: P03000006989
FEI/EIN Number 550820491
Address: 319 SOUTH RIVERSIDE DRIVE, POMPANO BEACH, FL, 33062, US
Mail Address: 319 S RIVERSIDE DRIVE, POMPANO BEACH, FL, 33062, US
ZIP code: 33062
City: Pompano Beach
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
JACOBS DANIEL MDr. Chief Executive Officer 319 S RIVERSIDE DRIVE, POMPANO BEACH, FL, 33062
- Agent -

National Provider Identifier

NPI Number:
1598201790

Authorized Person:

Name:
DANIEL JACOBS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
No
Selected Taxonomy:
207ZP0102X - Anatomic Pathology & Clinical Pathology Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -
CHANGE OF PRINCIPAL ADDRESS 2017-01-03 319 SOUTH RIVERSIDE DRIVE, POMPANO BEACH, FL 33062 -
CHANGE OF MAILING ADDRESS 2017-01-03 319 SOUTH RIVERSIDE DRIVE, POMPANO BEACH, FL 33062 -
REGISTERED AGENT ADDRESS CHANGED 2009-01-19 3732 N.W. 16TH STREET, FT. LAUDERDALE, FL 33311 -
CANCEL ADM DISS/REV 2004-12-06 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 - -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J13000804543 LAPSED 1000000483247 PALM BEACH 2013-04-03 2023-04-24 $ 350.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105

Documents

Name Date
ANNUAL REPORT 2018-04-11
ANNUAL REPORT 2017-01-03
ANNUAL REPORT 2016-04-05
ANNUAL REPORT 2015-01-15
ANNUAL REPORT 2014-09-11
ANNUAL REPORT 2013-07-11
ANNUAL REPORT 2012-01-10
ANNUAL REPORT 2011-01-24
ANNUAL REPORT 2010-02-17
ANNUAL REPORT 2009-01-19

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 03 Aug 2025

Sources: Florida Department of State