| Entity Name: | MARC D. SHIMAN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 18 May 2022 (3 years ago) |
| Document Number: | P22000041802 |
| FEI/EIN Number | 88-2544296 |
| Address: | 10075 S. JOG ROAD, SUITE #105, BOYNTON BEACH, FL 33437 |
| Mail Address: | 10075 S. JOG ROAD, SUITE #105, BOYNTON BEACH, FL 33437 |
| ZIP code: | 33437 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801535612 | 2022-05-31 | 2022-05-31 | 7976 EMERALD WINDS CIR, BOYNTON BEACH, FL, 334737852, US | 10075 S JOG RD STE 105, BOYNTON BEACH, FL, 334373532, US | |||||||||||||
|
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| Phone | +1 954-383-9521 |
Authorized person
| Name | MARC SHIMAN |
| Role | PRESIDENT |
| Phone | 9543839521 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FISCHLER, MICHAEL A, ESQ. | Agent | 1000 SOUTH ANDREWS AVENUE, FORT LAUDERDALE, FL 33316 |
| Name | Role | Address |
|---|---|---|
| SHIMAN, MARC D, MD | Director | 10075 S. JOG ROAD, SUITE #105, BOYNTON BEACH, FL 33437 |
| Name | Role | Address |
|---|---|---|
| SHIMAN, MARC D, MD | President | 10075 S. JOG ROAD, SUITE #105, BOYNTON BEACH, FL 33437 |
| Name | Role | Address |
|---|---|---|
| SHIMAN, MARC D, MD | Secretary | 10075 S. JOG ROAD, SUITE #105, BOYNTON BEACH, FL 33437 |
| Name | Role | Address |
|---|---|---|
| SHIMAN, MARC D, MD | Treasurer | 10075 S. JOG ROAD, SUITE #105, BOYNTON BEACH, FL 33437 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-04-10 |
| Domestic Profit | 2022-05-18 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
