| Entity Name: | ERIC FISHMAN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Jun 2005 (20 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P05000087878 |
| FEI/EIN Number | 260118998 |
| Address: | 5090 PGA BLVD., SUITE 304, PALM BEACH GARDENS, FL, 33418 |
| Mail Address: | 5090 PGA BLVD., SUITE 304, PALM BEACH GARDENS, FL, 33418 |
| ZIP code: | 33418 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619926722 | 2006-05-08 | 2020-08-22 | 1411 N FLAGLER DR, SUITE 8600, WEST PALM BEACH, FL, 334013404, US | 1411 N FLAGLER DR, SUITE 8600, WEST PALM BEACH, FL, 334013404, US | |||||||||||||||||||
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| Phone | +1 561-659-1200 |
| Fax | 5616591239 |
Authorized person
| Name | DR. ERIC STUART FISHMAN |
| Role | PRESIDENT |
| Phone | 5616591200 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| License Number | ME 0043070 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FISHMAN ERIC S | Agent | 5090 PGA BLVD., PALM BEACH GARDENS, FL, 33418 |
| Name | Role | Address |
|---|---|---|
| FISHMAN ERIC S | President | 5090 PGA BOULEVARD SUITE 300, PALM BEACH GARDENS, FL, 33418 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-25 | 5090 PGA BLVD., SUITE 304, PALM BEACH GARDENS, FL 33418 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-25 | 5090 PGA BLVD., SUITE 304, PALM BEACH GARDENS, FL 33418 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-01-06 | FISHMAN, ERIC SM.D. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-01-06 | 5090 PGA BLVD., SUITE 300, PALM BEACH GARDENS, FL 33418 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-14 |
| ANNUAL REPORT | 2012-04-25 |
| ANNUAL REPORT | 2011-04-25 |
| ANNUAL REPORT | 2010-01-06 |
| ADDRESS CHANGE | 2009-12-28 |
| ANNUAL REPORT | 2009-04-16 |
| ANNUAL REPORT | 2008-04-01 |
| ANNUAL REPORT | 2007-02-14 |
| ANNUAL REPORT | 2006-02-13 |
| Domestic Profit | 2005-06-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
