| Entity Name: | CRAIG BERKO, D.C., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 21 Jan 2003 (22 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P03000007438 |
| FEI/EIN Number | 06-1672743 |
| Mail Address: | 2016 BAY DRIVE, APT 503, MIAMI BEACH, FL 33141 |
| Address: | 4500 BISCAYNE BLVD., #202, MIAMI, FL 33137 |
| ZIP code: | 33137 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841559150 | 2012-05-07 | 2012-05-07 | 2016 BAY DR APT 503, MIAMI BEACH, FL, 331414421, US | 400 ARTHUR GODFREY RD STE 412, MIAMI BEACH, FL, 331403500, US | |||||||||||||||||||||||
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| Phone | +1 305-305-8672 |
Authorized person
| Name | DR. CRAIG BERKO |
| Role | PHYSICIAN/ PRESIDENT |
| Phone | 3053058672 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | CH6209 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004584800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BORSKY, JAY L | Agent | 2742 BISCAYNE BLVD., MIAMI, FL 33137 |
| Name | Role | Address |
|---|---|---|
| BERKO, CRAIG | President | 2016 BAY DRIVE 503, MIAMI BEACH, FL 33141 |
| Name | Role | Address |
|---|---|---|
| BERKO, BETTY | Vice President | 2016 BAY DRIVE 503, MIAMI BEACH, FL 33141 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CANCEL ADM DISS/REV | 2008-03-12 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-03-12 | 4500 BISCAYNE BLVD., #202, MIAMI, FL 33137 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2006-11-07 | 4500 BISCAYNE BLVD., #202, MIAMI, FL 33137 | No data |
| CANCEL ADM DISS/REV | 2006-11-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| CANCEL ADM DISS/REV | 2005-11-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-08-02 | 2742 BISCAYNE BLVD., MIAMI, FL 33137 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2008-03-12 |
| REINSTATEMENT | 2006-11-07 |
| REINSTATEMENT | 2005-11-01 |
| ANNUAL REPORT | 2004-08-02 |
| Domestic Profit | 2003-01-22 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
