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MARK NATHAN, DC PA

Company Details

Entity Name: MARK NATHAN, DC PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 12 Dec 2006 (18 years ago)
Date of dissolution: 25 Sep 2009 (15 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2009 (15 years ago)
Document Number: P06000152866
FEI/EIN Number 450547735
Address: 1730 NW 122ND TERR, PEMBROKE PINES, FL, 33026
Mail Address: 601 NW 42 AVE #210, PLANTATION, FL, 33317
ZIP code: 33026
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336341288 2007-06-04 2020-08-22 1730 NW 122ND TER, PEMBROKE PINES, FL, 330261967, US 1730 NW 122ND TER, PEMBROKE PINES, FL, 330261967, US

Contacts

Phone +1 954-432-8910

Authorized person

Name DR. MARK NATHAN
Role PRESIDENT
Phone 9544328910

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH7810
State FL
Is Primary Yes

Agent

Name Role Address
NATHAN MARK Agent 601 NW 42 AVE #210, PLANTATION, FL, 33317

President

Name Role Address
NATHAN MARK President 601 NW 42 AVE #210, PLANTATION, FL, 33317

Vice President

Name Role Address
NATHAN MARK Vice President 601 NW 42 AVE #210, PLANTATION, FL, 33317

Treasurer

Name Role Address
NATHAN MARK Treasurer 601 NW 42 AVE #210, PLANTATION, FL, 33317

Secretary

Name Role Address
NATHAN MARK Secretary 601 NW 42 AVE #210, PLANTATION, FL, 33317

Director

Name Role Address
NATHAN MARK Director 601 NW 42 AVE #210, PLANTATION, FL, 33317

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2007-03-06 1730 NW 122ND TERR, PEMBROKE PINES, FL 33026 No data

Documents

Name Date
ANNUAL REPORT 2008-01-28
ANNUAL REPORT 2007-03-06
Domestic Profit 2006-12-12

Date of last update: 02 Feb 2025

Sources: Florida Department of State