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MARK PARIS, MD, INC.

Company Details

Entity Name: MARK PARIS, MD, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 Dec 2018 (6 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 28 Dec 2020 (4 years ago)
Document Number: P19000000191
FEI/EIN Number 832999985
Address: 100 E LINTON BLVD, SUITE 503A, DELRAY BEACH, FL, 33483, US
Mail Address: 100 E LINTON BLVD, SUITE 503A, DELRAY BEACH, FL, 33483, US
ZIP code: 33483
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043927239 2022-10-28 2022-10-28 100 E LINTON BLVD STE 503A, DELRAY BEACH, FL, 334833353, US 100 E LINTON BLVD STE 503A, DELRAY BEACH, FL, 334833353, US

Contacts

Phone +1 305-308-5509
Phone +1 561-265-4969
Fax 5612654392

Authorized person

Name MARK PARIS
Role OWNER/MEDICAL DIRECTOR
Phone 3053187585

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role
LEGAL ADVOCATES, PLLC Agent

President

Name Role Address
PARIS MARK President 100 E LINTON BLVD, DELRAY BEACH, FL, 33483

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000000337 MARK PARIS MD PA ACTIVE 2022-01-03 2027-12-31 No data 100 E LINTON BLVD, SUITE 503A, DELRAY BEACH, FL, 33483

Events

Event Type Filed Date Value Description
AMENDMENT AND NAME CHANGE 2020-12-28 MARK PARIS, MD, INC. No data
NAME CHANGE AMENDMENT 2020-03-02 MARK PARIS, MD, P.A. No data
CHANGE OF PRINCIPAL ADDRESS 2020-02-18 100 E LINTON BLVD, SUITE 503A, DELRAY BEACH, FL 33483 No data
CHANGE OF MAILING ADDRESS 2020-02-18 100 E LINTON BLVD, SUITE 503A, DELRAY BEACH, FL 33483 No data

Documents

Name Date
ANNUAL REPORT 2024-04-05
ANNUAL REPORT 2023-04-11
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-04-22
Amendment and Name Change 2020-12-28
Name Change 2020-03-02
ANNUAL REPORT 2020-02-18
Domestic Profit 2018-12-26

Date of last update: 01 Feb 2025

Sources: Florida Department of State