| Entity Name: | DR. MICHAEL HERSHORN, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Jun 2006 (19 years ago) |
| Date of dissolution: | 14 Sep 2007 (17 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (17 years ago) |
| Document Number: | P06000078400 |
| Address: | 8333 WEST MCNAB ROAD, SUITE 131, TAMARAC, FL, 33321 |
| Mail Address: | 8101 NW 100 TERRACE, TAMARAC, FL, 33321 |
| ZIP code: | 33321 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902841091 | 2006-06-20 | 2020-08-22 | PO BOX 9318, CORAL SPRINGS, FL, 330759318, US | 8333 W MCNAB RD, SUITE 131, TAMARAC, FL, 333213242, US | |||||||||||||||||||
|
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| Phone | +1 954-614-2326 |
| Fax | 9547226447 |
Authorized person
| Name | DR. MICHAEL HERSHORN |
| Role | PRESIDENT |
| Phone | 9546142326 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY0003824 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HERSHORN MICHAEL | Agent | 8101 NW 100 TERR., TAMARAC, FL, 33321 |
| Name | Role | Address |
|---|---|---|
| HERSHORN MICHAEL | President | 8333 WEST MCNAB ROAD #131, TAMARC, FL, 33321 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-11-06 | 8101 NW 100 TERR., TAMARAC, FL 33321 | No data |
| CHANGE OF MAILING ADDRESS | 2006-11-02 | 8333 WEST MCNAB ROAD, SUITE 131, TAMARAC, FL 33321 | No data |
| Name | Date |
|---|---|
| Reg. Agent Change | 2006-11-06 |
| Domestic Profit | 2006-06-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
