| Entity Name: | DAVID A PADDEN, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 29 Nov 2022 (2 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 12 Dec 2022 (2 years ago) |
| Document Number: | P22000088646 |
| FEI/EIN Number | 92-1234243 |
| Address: | 11450 NW 4TH STREET, PLANTATION, FL 33325 |
| Mail Address: | 11450 NW 4TH STREET, PLANTATION, FL 33325 |
| ZIP code: | 33325 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346953445 | 2023-01-04 | 2023-01-04 | 11450 NW 4TH ST, PLANTATION, FL, 333252506, US | 2047 PALM BEACH LAKES BLVD, WEST PALM BEACH, FL, 334096522, US | |||||||||||||||
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| Phone | +1 561-507-0800 |
| Fax | 5616008705 |
Authorized person
| Name | CARIANNE YANTZ |
| Role | ADMIN |
| Phone | 5617216880 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHEPPARD, JEFFREY M | Agent | 2 SOUTH UNIVERSITY DR #265, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| PADDEN, DAVID | President | 11450 NW 4TH STREET, PLANTATION, FL 33325 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2022-12-12 | DAVID A PADDEN, MD, PA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-28 |
| ANNUAL REPORT | 2023-05-01 |
| Name Change | 2022-12-12 |
| Domestic Profit | 2022-11-29 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
