| Entity Name: | DAVID MISHKIN, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Feb 2003 (22 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 01 May 2012 (13 years ago) |
| Document Number: | P03000018492 |
| FEI/EIN Number | 470914746 |
| Address: | 1960 NE 47TH STREET, FT. LAUDERDALE, FL, 33308, US |
| Mail Address: | 1960 NE 47th St 2nd Floor, FT. LAUDERDALE, FL, 33308, US |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346412970 | 2008-03-24 | 2012-11-28 | 2021 E COMMERCIAL BLVD, SUITE 301, FORT LAUDERDALE, FL, 33308, US | 2021 E COMMERCIAL BLVD, SUITE 301, FORT LAUDERDALE, FL, 33308, US | |||||||||||||||||||
|
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| Phone | +1 954-202-7899 |
| Fax | 9542027877 |
Authorized person
| Name | MR. DAVID B MISHKIN |
| Role | OWNER/PRESIDENT |
| Phone | 9542027899 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS8314 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MISHKIN DAVID D | Agent | 1960 NE 47th St 2nd Floor, Lighthouse Point, FL, 33064 |
| Name | Role | Address |
|---|---|---|
| MISHKIN DAVID D | Director | 1960 NE 47th St 2nd Floor, FORT LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-04-07 | 1960 NE 47TH STREET, FT. LAUDERDALE, FL 33308 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-07 | 1960 NE 47th St 2nd Floor, Lighthouse Point, FL 33064 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-06-20 | 1960 NE 47TH STREET, FT. LAUDERDALE, FL 33308 | No data |
| REINSTATEMENT | 2012-05-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2003-04-04 | MISHKIN, DAVID D.O. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-28 |
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-02-11 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-04-07 |
| ANNUAL REPORT | 2018-01-13 |
| ANNUAL REPORT | 2017-01-14 |
| ANNUAL REPORT | 2016-01-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
