| Entity Name: | RICHARD A. MCLEAN MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Sep 2003 (21 years ago) |
| Document Number: | P03000096332 |
| FEI/EIN Number | 200196360 |
| Address: | 4101 NW 4TH STREET, SUITE 404, PLANTATION, FL, 33317 |
| Mail Address: | 4101 NW 4TH STREET, SUITE 404, PLANTATION, FL, 33317 |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003014242 | 2007-07-10 | 2007-07-10 | 14782 SW 176TH TER, MIAMI, FL, 331876779, US | 4101 NW 4TH ST, SUITE 404, PLANTATION, FL, 333172850, US | |||||||||||||||||||||||||||||
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| Phone | +1 954-599-5172 |
| Fax | 9547924880 |
| Phone | +1 954-792-4880 |
| Fax | 9547924881 |
Authorized person
| Name | DR. RICHARD A MCLEAN |
| Role | PRESIDENT |
| Phone | 9547924880 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME86503 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1871571158 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCLEAN RICHARD | Agent | 4101 NW 4TH STREET, PLANTATION, FL, 33317 |
| Name | Role | Address |
|---|---|---|
| MCLEAN RICHARD A | Director | 4101 NW 4TH STREET, SUITE 404, PLANTATION, FL, 33317 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2006-04-28 | 4101 NW 4TH STREET, SUITE 404, PLANTATION, FL 33317 | No data |
| CHANGE OF MAILING ADDRESS | 2006-04-28 | 4101 NW 4TH STREET, SUITE 404, PLANTATION, FL 33317 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-28 | 4101 NW 4TH STREET, SUITE 404, PLANTATION, FL 33317 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-03-15 |
| ANNUAL REPORT | 2022-04-09 |
| ANNUAL REPORT | 2021-03-25 |
| ANNUAL REPORT | 2020-03-26 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-21 |
| ANNUAL REPORT | 2017-04-22 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
