| Entity Name: | ELAN ROSENBLAT MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 Mar 2017 (8 years ago) |
| Document Number: | P17000021993 |
| FEI/EIN Number | 82-0781177 |
| Address: | 6290 LINTON BLVD, DELRAY BEACH, FL, 33484, US |
| Mail Address: | 6290 Linton Boulevard Suite, Suite 203, 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 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023581584 | 2019-01-08 | 2019-01-08 | 6290 LINTON BLVD STE 203, DELRAY BEACH, FL, 334846409, US | 6290 LINTON BLVD STE 203, DELRAY BEACH, FL, 334846409, US | |||||||||||||
|
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| Phone | +1 561-880-5099 |
Authorized person
| Name | ELAN A ROSENBLAT |
| Role | OWNER |
| Phone | 5166037974 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROSENBLAT ELAN | Agent | 6290 LINTON BLVD, DELRAY BEACH, FL, 33484 |
| Name | Role | Address |
|---|---|---|
| Rosenblat Elan MD | President | 6290 Linton Boulevard, Suite 203, Delray Beach, FL, 33484 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-06-18 | 6290 LINTON BLVD, SUITE 203, DELRAY BEACH, FL 33484 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-06-18 | 6290 LINTON BLVD, SUITE 203, DELRAY BEACH, FL 33484 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-05-23 | 6290 LINTON BLVD, SUITE 203, DELRAY BEACH, FL 33484 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-03-10 |
| ANNUAL REPORT | 2020-07-14 |
| ANNUAL REPORT | 2019-06-18 |
| ANNUAL REPORT | 2018-03-27 |
| Domestic Profit | 2017-03-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
