| Entity Name: | SEYMOUR R. ROSEN, M.D. P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Apr 2008 (17 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: | P08000038242 |
| Address: | 4591 BERKLIE DRIVE, TALLAHASSEE, FL, 32308, US |
| Mail Address: | 4591 BERKLIE DRIVE, TALLAHASSEE, FL, 32308, US |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003080292 | 2008-04-17 | 2008-05-06 | 4591 BERKLIE DR, TALLAHASSEE, FL, 323085861, US | 4591 BERKLIE DR, TALLAHASSEE, FL, 323085861, US | |||||||||||||||||||
|
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| Phone | +1 850-272-4222 |
| Fax | 8505754503 |
Authorized person
| Name | DR. SEYMOUR R ROSEN |
| Role | PRESIDENT/PHYSICIAN |
| Phone | 8502724222 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | No |
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROSEN SEYMOUR | Agent | 4591 BERKLIE DRIVE, TALLAHASSEE, FL, 32308 |
| Name | Role | Address |
|---|---|---|
| ROSEN SEYMOUR | President | 4591 BERKLIE DRIVE, TALLAHASSEE, FL, 32308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| NAME CHANGE AMENDMENT | 2008-04-17 | SEYMOUR R. ROSEN, M.D. P.A. | No data |
| Name | Date |
|---|---|
| Name Change | 2008-04-17 |
| Domestic Profit | 2008-04-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
