| Entity Name: | ADVANCED DIAGNOSTICS & PAIN MANAGEMENT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 29 Apr 1994 (31 years ago) |
| Document Number: | P94000032823 |
| FEI/EIN Number | 65-0499148 |
| Address: | 9745 Montpellier Drive, Delray Beach, FL 33446 |
| Mail Address: | 9745 Montpellier Drive, Delray beach, FL 33446 |
| ZIP code: | 33446 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831396696 | 2007-06-27 | 2012-06-25 | 6670 TAFT ST, HOLLYWOOD, FL, 330244011, US | 6670 TAFT ST, HOLLYWOOD, FL, 330244011, US | |||||||||||||||||||||||||
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| Phone | +1 954-961-6400 |
| Fax | 9549616449 |
Authorized person
| Name | DR. JEROME M DOLINSKY |
| Role | OWNER |
| Phone | 9549616400 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Taxonomy Code | 171100000X - Acupuncturist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 89139Z |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DOLINSKY, JEROME MDC | Agent | 9745 Montpellier Drive, Delray Beach, FL 33446 |
| Name | Role | Address |
|---|---|---|
| DOLINSKY, JEROME M | President | 9745 Montpellier Drive, Delray beach, FL 33446 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000077226 | ADVANCED MEDICAL | ACTIVE | 2024-06-25 | 2029-12-31 | No data | 9745 MONTPELLIER DRIVE, DELRAY BEACH, FL, 33446 |
| G19000026287 | ADVANCED MEDICAL | ACTIVE | 2019-02-25 | 2029-12-31 | No data | 9745 MONTPELLIER DRIVE, DELRAY BEACH, FL, 33446 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-19 | 9745 Montpellier Drive, Delray Beach, FL 33446 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-08 | 9745 Montpellier Drive, Delray Beach, FL 33446 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-08 | 9745 Montpellier Drive, Delray Beach, FL 33446 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-19 |
| ANNUAL REPORT | 2023-03-13 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-04-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
