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P BERNSTEIN PA

Company Details

Entity Name: P BERNSTEIN PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 03 Jun 2014 (11 years ago)
Date of dissolution: 22 Sep 2017 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2017 (7 years ago)
Document Number: P14000049011
FEI/EIN Number 47-1007016
Address: 2635 YARMOUTH DRIVE, WELLINGTON, FL, 33414, US
Mail Address: 2635 YARMOUTH DRIVE, WELLINGTON, FL, 33414, US
ZIP code: 33414
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134529274 2014-08-26 2014-10-02 PO BOX 970528, COCONUT CREEK, FL, 330970528, US 4233 W HILLSBORO BLVD UNIT 970528, COCONUT CREEK, FL, 330971228, US

Contacts

Phone +1 954-227-8224
Fax 9542277442

Authorized person

Name MS. PAULA BERNSTEIN
Role CERTIFIED REGISTERED NURSE 1ST ASST
Phone 9542278224

Taxonomy

Taxonomy Code 363AS0400X - Surgical Physician Assistant
License Number RN2727472
State FL
Is Primary Yes

Agent

Name Role Address
BERNSTEIN PAULA Agent 2635 YARMOUTH DRIVE, WELLINGTON, FL, 33414

President

Name Role Address
BERNSTEIN PAULA PRES President 2635 YARMOUTH DRIVE, WELLINGTON, FL, 33414

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data

Documents

Name Date
ANNUAL REPORT 2016-04-03
ANNUAL REPORT 2015-04-07
Domestic Profit 2014-06-03

Date of last update: 01 Feb 2025

Sources: Florida Department of State