Entity Name: | DAVID GOLDBERGER, MD & ASSOCIATES,PA |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 15 Jun 2010 (15 years ago) |
Date of dissolution: | 23 Sep 2016 (8 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 23 Sep 2016 (8 years ago) |
Document Number: | P10000050411 |
FEI/EIN Number | 272868620 |
Address: | 4651 SHERIDAN STREET, 100, HOLLYWOOD, FL, 33021, US |
Mail Address: | 4651 SHERIDAN STREET, 100, HOLLYWOOD, FL, 33021, US |
ZIP code: | 33021 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1912228578 | 2010-06-17 | 2010-06-17 | 4420 SHERIDAN ST, E, HOLLYWOOD, FL, 330213552, US | 4420 SHERIDAN ST, E, HOLLYWOOD, FL, 330213552, US | |||||||||||||||||||
|
Phone | +1 954-962-0222 |
Fax | 9549872444 |
Authorized person
Name | DAVID GOLDBERGER |
Role | PRES |
Phone | 9549620222 |
Taxonomy
Taxonomy Code | 207W00000X - Ophthalmology Physician |
License Number | 28979 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
GOLDBERGER DAVID | Agent | 4651 SHERIDAN ST, HOLLYWOOD, FL, 33021 |
Name | Role | Address |
---|---|---|
GOLDBERGER DAVID | President | 4651 SHERIDAN ST-100, HOLLYWOOD, FL, 33021 |
Name | Role | Address |
---|---|---|
GOLDBERGER ARLENE S | Secretary | 4651 SHERIDAN ST-100, HOLLYWOOD, FL, 33021 |
Name | Role | Address |
---|---|---|
GOLDBERGER DAVID | Treasurer | 4651 SHERIDAN ST-100, HOLLYWOOD, FL, 33021 |
Name | Role | Address |
---|---|---|
GOLDBERGER SETH A | Vice President | 4651 SHERIDAN ST-100, HOLLYWOOD, FL, 33021 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2012-04-30 | 4651 SHERIDAN STREET, 100, HOLLYWOOD, FL 33021 | No data |
CHANGE OF MAILING ADDRESS | 2011-05-01 | 4651 SHERIDAN STREET, 100, HOLLYWOOD, FL 33021 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2011-05-01 | 4651 SHERIDAN ST, 100, HOLLYWOOD, FL 33021 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2015-09-25 |
ANNUAL REPORT | 2014-04-29 |
ANNUAL REPORT | 2013-04-30 |
ANNUAL REPORT | 2012-04-30 |
ANNUAL REPORT | 2011-05-01 |
Domestic Profit | 2010-06-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State