| Entity Name: | ADAM GREENBERG, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Jan 1999 (26 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P99000004817 |
| FEI/EIN Number | 650889761 |
| Address: | 1846 S.E. PORT ST. LUCIE BLVD., PORT SAINT LUCIE, FL, 34952 |
| Mail Address: | 1846 S.E. PORT ST. LUCIE BLVD., PORT SAINT LUCIE, FL, 34952 |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750562104 | 2007-11-14 | 2008-06-10 | 1846 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL, 349525545, US | 1846 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL, 349525545, US | |||||||||||||||||||||||||
|
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| Phone | +1 772-337-0044 |
| Fax | 7723980932 |
Authorized person
| Name | DR. ADAM GREENBERG |
| Role | PHYSICIAN |
| Phone | 7723370044 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0072900 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1407866288 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GREENBERG ADAM M | Agent | 3404 SW BOAT RAMP AVE, PALM CITY, FL, 34990 |
| Name | Role | Address |
|---|---|---|
| GREENBERG ADAM M | President | 3404 BOAT RAMP RD, PALM CITY, FL, 34990 |
| Name | Role | Address |
|---|---|---|
| GREENBERG ADAM M | Secretary | 3404 BOAT RAMP RD, PALM CITY, FL, 34990 |
| Name | Role | Address |
|---|---|---|
| GREENBERG ADAM M | Treasurer | 3404 BOAT RAMP RD, PALM CITY, FL, 34990 |
| Name | Role | Address |
|---|---|---|
| GREENBERG ADAM M | Director | 3404 BOAT RAMP RD, PALM CITY, FL, 34990 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2008-02-10 | 1846 S.E. PORT ST. LUCIE BLVD., PORT SAINT LUCIE, FL 34952 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-01-15 | 1846 S.E. PORT ST. LUCIE BLVD., PORT SAINT LUCIE, FL 34952 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-02-15 | 3404 SW BOAT RAMP AVE, PALM CITY, FL 34990 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-02-10 |
| ANNUAL REPORT | 2007-01-15 |
| ANNUAL REPORT | 2006-01-06 |
| ANNUAL REPORT | 2005-06-30 |
| ANNUAL REPORT | 2004-02-15 |
| ANNUAL REPORT | 2003-07-23 |
| ANNUAL REPORT | 2002-05-13 |
| ANNUAL REPORT | 2001-01-11 |
| ANNUAL REPORT | 2000-07-26 |
| Domestic Profit | 1999-01-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
