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MICHAEL J. MCKENZIE, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: MICHAEL J. MCKENZIE, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 29 Nov 2004 (21 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 28 Dec 2005 (20 years ago)
Document Number: P04000160156
FEI/EIN Number 331105925
Address: 200 East Hallandale Beach Blvd, Hallandale Beach, FL, 33009, US
Mail Address: 200 East Hallandale Beach Blvd, Hallandale Beach, FL, 33009, US
ZIP code: 33009
City: Hallandale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MCKENZIE MICHAEL J Agent 200 East Hallandale Beach Blvd, Hallandale Beach, FL, 33009
MCKENZIE MICHAEL J Chief Executive Officer 200 East Hallandale Beach Blvd, Hallandale Beach, FL, 33009

National Provider Identifier

NPI Number:
1083635973

Authorized Person:

Name:
DR. MICHAEL JOACHIM MCKENZIE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9548890213

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-04-08 200 East Hallandale Beach Blvd, Hallandale Beach, FL 33009 -
CHANGE OF MAILING ADDRESS 2019-04-08 200 East Hallandale Beach Blvd, Hallandale Beach, FL 33009 -
REGISTERED AGENT ADDRESS CHANGED 2019-04-08 200 East Hallandale Beach Blvd, Hallandale Beach, FL 33009 -
NAME CHANGE AMENDMENT 2005-12-28 MICHAEL J. MCKENZIE, M.D., P.A. -

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-03
ANNUAL REPORT 2022-04-09
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-04-30
ANNUAL REPORT 2019-04-08
ANNUAL REPORT 2018-04-25
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-04-26
ANNUAL REPORT 2015-04-30

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Date of last update: 02 Aug 2025

Sources: Florida Department of State