Search icon

SHAWN A MCCLURE DMD MD

Company Details

Entity Name: SHAWN A MCCLURE DMD MD
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 27 Jul 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: P07000085217
Address: 8940 NORTH KENDALL DRIVE, SUITE 604E, MIAMI, FL, 33176
Mail Address: 8940 NORTH KENDALL DRIVE, SUITE 604E, MIAMI, FL, 33176
ZIP code: 33176
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619422607 2016-08-18 2016-08-18 9858 CLINT MOORE RD, C111-274, BOCA RATON, FL, 334961034, US 8755 SW 57TH PL, COOPER CITY, FL, 333285921, US

Contacts

Phone +1 561-482-1144
Fax 5614821145
Phone +1 954-328-3631
Fax 9543555490

Authorized person

Name SHAWN A MCCLURE
Role DMD, MD
Phone 9543283631

Taxonomy

Taxonomy Code 2086S0127X - Trauma Surgery Physician
License Number ME99010
State FL
Is Primary Yes

Agent

Name Role Address
MCCLURE SHAWN A Agent 8755 SW 57TH PLACE, COOPER CITY, FL, 33328

President

Name Role Address
MCCLURE SHAWN A President 8755 SW 57TH PLACE, COOPER CITY, FL, 33328

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data

Documents

Name Date
Domestic Profit 2007-07-27

Date of last update: 02 Feb 2025

Sources: Florida Department of State