| Entity Name: | CHRISTOPHER LOW PLASTIC SURGERY PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Jan 2015 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 25 Oct 2016 (8 years ago) |
| Document Number: | P15000006239 |
| FEI/EIN Number | 47-2925344 |
| Address: | 910 NE 26TH AVE, FT LAUDERDALE, FL, 33304, US |
| Mail Address: | 910 NE 26TH AVE, FT LAUDERDALE, FL, 33304, US |
| ZIP code: | 33304 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518409689 | 2016-11-07 | 2016-11-07 | 906 NE 26TH AVE, FT LAUDERDALE, FL, 333043607, US | 906 NE 26TH AVE, FT LAUDERDALE, FL, 333043607, US | |||||||||||||||||||||||||||||
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| Phone | +1 954-533-8029 |
Authorized person
| Name | CHRISTOPHER LOW |
| Role | OFFICER |
| Phone | 9545338029 |
Taxonomy
| Taxonomy Code | 2086S0122X - Plastic and Reconstructive Surgery Physician |
| License Number | ME112335 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 129998 |
| State | AL |
| Issuer | MEDICAL LICENSE |
| Number | ME112335 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Low Christopher | Agent | 910 NE 26TH AVE, FT LAUDERDALE, FL, 33304 |
| Name | Role | Address |
|---|---|---|
| LOW CHRISTOPHER | Director | 906 NE 26TH AVE, FT LAUDERDALE, FL, 33304 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-13 | 910 NE 26TH AVE, FT LAUDERDALE, FL 33304 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-13 | 910 NE 26TH AVE, FT LAUDERDALE, FL 33304 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-02-13 | Low , Christopher | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-13 | 910 NE 26TH AVE, FT LAUDERDALE, FL 33304 | No data |
| REINSTATEMENT | 2016-10-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| AMENDED ANNUAL REPORT | 2023-02-13 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-04 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-06-28 |
| ANNUAL REPORT | 2017-03-22 |
| REINSTATEMENT | 2016-10-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
