| Entity Name: | DR. DOV PICKHOLTZ DO, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Dec 2013 (11 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 16 Feb 2024 (a year ago) |
| Document Number: | P13000101747 |
| FEI/EIN Number | 46-4384765 |
| Address: | 5341 west atlantic Ave, Delray Beach, FL, 33484, US |
| Mail Address: | HealthInternal, 5341 West Atlantic Ave, Delray Beach, FL, 33484, US |
| ZIP code: | 33484 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194194480 | 2015-09-17 | 2015-09-17 | 7964 LITTLE LN, BOCA RATON, FL, 334334146, US | 7964 LITTLE LN, BOCA RATON, FL, 334334146, US | |||||||||||||||||||||||||
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| Phone | +1 561-450-9933 |
| Fax | 5614509934 |
Authorized person
| Name | DR. DOV ALEXANDER PICKHOLTZ |
| Role | OWNER |
| Phone | 5614509933 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | OS12425 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FL LICENCE |
| Number | OS12425 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PICKHOLTZ DOV A | Agent | 5341 west atlantic Ave, Delray Beach, FL, 33484 |
| Name | Role | Address |
|---|---|---|
| PICKHOLTZ DOV A | Chief Executive Officer | 7964 LITTLE LANE, BOCA RATON, FL, 33433 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000086504 | HEALTH INTERNAL | EXPIRED | 2015-08-20 | 2020-12-31 | No data | 5341 WEST ATLANTIC AVE, SUITE 301, DELRAY BEACH, FL, 33484 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-02-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-19 | 5341 west atlantic Ave, Ste 301, Delray Beach, FL 33484 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-10 | 5341 west atlantic Ave, Ste 301, Delray Beach, FL 33484 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-05-13 | PICKHOLTZ, DOV A | No data |
| REINSTATEMENT | 2019-05-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-05-01 | 5341 west atlantic Ave, Ste 301, Delray Beach, FL 33484 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J21000039309 | ACTIVE | 1000000874544 | BROWARD | 2021-01-25 | 2041-01-27 | $ 990.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-02-16 |
| ANNUAL REPORT | 2022-05-20 |
| ANNUAL REPORT | 2021-01-19 |
| ANNUAL REPORT | 2020-06-10 |
| REINSTATEMENT | 2019-05-13 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-30 |
| Domestic Profit | 2013-12-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
