| Entity Name: | LINDSAY ISRAEL, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 May 2018 (7 years ago) |
| Document Number: | P18000046804 |
| FEI/EIN Number | 83-0691352 |
| Address: | 8845 North Military Trail, STE 200, PALM BEACH GARDENS, FL, 33410, US |
| Mail Address: | 8845 North Military Trail, STE 200, PALM BEACH GARDENS, FL, 33410, US |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811461957 | 2019-01-11 | 2019-01-11 | 1926 10TH AVE N STE 410, LAKE WORTH, FL, 334613368, US | 1421 E OAKLAND PARK BLVD STE 101, OAKLAND PARK, FL, 333344434, US | |||||||||||||||||||
|
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| Phone | +1 561-763-7629 |
Authorized person
| Name | LINDSAY ALISON ISRAEL-GAINES |
| Role | MD/OWNER |
| Phone | 5615683949 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001346400 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| ISRAEL-GAINES LINDSAY M.D. | Director | 8845 North Military Trail, PALM BEACH GARDENS, FL, 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-07-16 | Corporation Service Company | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-07-16 | 1201 Hays Street, Tallahassee, FL 32301 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-29 | 8845 North Military Trail, STE 200, PALM BEACH GARDENS, FL 33410 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-29 | 8845 North Military Trail, STE 200, PALM BEACH GARDENS, FL 33410 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-16 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-04-14 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-29 |
| Domestic Profit | 2018-05-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
