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PHYSICIANS DIAGNOSTIC & REHABILITATION SERVICES, INC.

Company Details

Entity Name: PHYSICIANS DIAGNOSTIC & REHABILITATION SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 09 Aug 1996 (28 years ago)
Document Number: P96000067417
FEI/EIN Number 650688250
Address: 1000 SW 21st Ave, Boca Raton, FL, 33486, US
Mail Address: 1000 SW 21st Ave, Boca Raton, FL, 33486, US
ZIP code: 33486
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891927299 2009-08-18 2010-12-06 4651 N STATE ROAD 7, SUITE 9, COCONUT CREEK, FL, 330734378, US 4651 N STATE ROAD 7, SUITE 9, COCONUT CREEK, FL, 330734378, US

Contacts

Phone +1 954-753-4248
Fax 9542557990

Authorized person

Name HOWARD NEWMAN
Role PRESIDENT
Phone 9547534248

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary No
Taxonomy Code 208C00000X - Colon & Rectal Surgery Physician
Is Primary No
Taxonomy Code 208D00000X - General Practice Physician
Is Primary No
Taxonomy Code 208VP0014X - Interventional Pain Medicine Physician
License Number ME8599
State FL
Is Primary Yes

Agent

Name Role Address
NEWMAN HOWARD Agent 1000 SW 21st Ave, Boca Raton, FL, 33486

President

Name Role Address
NEWMAN HOWARD President 1000 SW 21st Ave, Boca Raton, FL, 33486

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000071673 EASTWESTPHYSICIANS.COM ACTIVE 2021-05-26 2026-12-31 No data 4651 NORTH STATE ROAD 7 #9, COCONUT CREEK, COCONUT CREEK, FL, 33067
G10000055648 EAST WEST PHYSICIANS EXPIRED 2010-06-17 2015-12-31 No data 4651 NORTH STATE ROAD 7 #9, COCONUT CREEK, FL, 33073

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J23000163667 ACTIVE CACE22006509 BROWARD COUNTY CIRCUIT CIVIL 2023-04-05 2028-04-18 $51,482.45 MCKESSON SPECIALTY CARE DISTRIBUTION, LLC, 401 MASON ROAD, LA VERGNE, TN 37086
J21000113450 ACTIVE 18-81584-CIV-DIMITROULEAS UNITED STATES DISTRICT COURT 2020-12-11 2026-03-17 $48000 JENNIFER NEWMAN, 6775 NW 65TH TERRACE, PARKLAND, FLORIDA 33067
J10001138855 LAPSED 09-4847 COSO 61 BROWARD COUNTY 2010-12-02 2015-12-22 $4537.78 HPSC, INC., 1 BEACON STREET, 2 FLOOR, BOSTON, MA 02108
J02000188387 LAPSED 00-9994 SP 25 (01) MIAMI DADE COUNTY COURT 2002-02-21 2007-05-13 $2970.64 LABORATORY CORPORTION OF AMERICA, % ROBERT E KORN, ESQUIRE, 5295 TOWN CENTER RD #201, BOCA RATON FLORIDA 33486

Date of last update: 02 Jan 2025

Sources: Florida Department of State