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PLANTATION PHYSICAL MEDICINE, P.A. - Florida Company Profile

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Company Details

Entity Name: PLANTATION PHYSICAL MEDICINE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 15 Jun 2012 (13 years ago)
Document Number: P12000054489
FEI/EIN Number 352448106
Address: 1753 North University Drive, PLANTATION, FL, 33322, US
Mail Address: 1753 North University Drive, PLANTATION, FL, 33322, US
ZIP code: 33322
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FISHMAN DEAN L Director 1753 North University Drive, PLANTATION, FL, 33322
Fishman Dean LDr. Agent 1753 North University Drive, Plantation, FL, 33322

National Provider Identifier

NPI Number:
1154685873

Authorized Person:

Name:
DEAN FISHMAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2014-04-16 Fishman, Dean L, Dr. -
REGISTERED AGENT ADDRESS CHANGED 2014-04-16 1753 North University Drive, Plantation, FL 33322 -
CHANGE OF PRINCIPAL ADDRESS 2013-04-24 1753 North University Drive, PLANTATION, FL 33322 -
CHANGE OF MAILING ADDRESS 2013-04-24 1753 North University Drive, PLANTATION, FL 33322 -

Documents

Name Date
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-03-05
ANNUAL REPORT 2019-03-06
ANNUAL REPORT 2018-03-28
ANNUAL REPORT 2017-03-13
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-02-12

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Date of last update: 03 Aug 2025

Sources: Florida Department of State