| Entity Name: | EILEEN ROSEN M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Jun 2007 (18 years ago) |
| Date of dissolution: | 26 Sep 2008 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (16 years ago) |
| Document Number: | P07000070848 |
| Address: | 2008 VALENCIA DRIVE, DELRAY BEACH, FL, 33445, US |
| Mail Address: | 2008 VALENCIA DRIVE, DELRAY BEACH, FL, 33445, US |
| ZIP code: | 33445 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578766283 | 2007-06-08 | 2020-08-22 | 2008 VALENCIA DR, DELRAY BEACH, FL, 334455326, US | 2008 VALENCIA DR, DELRAY BEACH, FL, 334455326, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 561-638-5451 |
Authorized person
| Name | DR. EILEEN M ROSEN |
| Role | PRESIDENT |
| Phone | 5616385451 |
Taxonomy
| Taxonomy Code | 202C00000X - Independent Medical Examiner Physician |
| License Number | ME89329 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROSEN EILEEN M | Agent | 2008 VALENCIA DRIVE, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| ROSEN EILEEN M | President | 2008 VALENCIA DRIVE, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| ROSEN EILEEN M | Secretary | 2008 VALENCIA DRIVE, DELRAY BEACH, FL, 33445 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2007-06-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
