Entity Name: | MARVIN MORDES, M.D., P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 27 Mar 2013 (12 years ago) |
Date of dissolution: | 25 Sep 2015 (9 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 25 Sep 2015 (9 years ago) |
Document Number: | P13000028471 |
FEI/EIN Number | 46-2460407 |
Address: | 4920 LORING DRIVE, WEST PALM BEACH, FL, 33417 |
Mail Address: | 4920 LORING DRIVE, WEST PALM BEACH, FL, 33417 |
ZIP code: | 33417 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1265876692 | 2013-04-29 | 2013-05-10 | 4920 LORING DR, WEST PALM BEACH, FL, 334178052, US | 4920 LORING DR, WEST PALM BEACH, FL, 334178052, US | |||||||||||||||||||
|
Phone | +1 561-209-1086 |
Fax | 5612096355 |
Authorized person
Name | DR. MARVIN MORDES |
Role | CEO |
Phone | 5612091086 |
Taxonomy
Taxonomy Code | 2084N0400X - Neurology Physician |
License Number | ME87570 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
RAINEY JAMES HESQ | Agent | 1117 CLARE AVENUE, WEST PALM BEACH, FL, 33401 |
Name | Role | Address |
---|---|---|
MORDES MARVIN | Director | 4920 LORING DRIVE, WEST PALM BEACH, FL, 33417 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2014-04-06 |
Domestic Profit | 2013-03-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State