| Entity Name: | MARK JAFFE, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MARK JAFFE, M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 16 Mar 1999 (26 years ago) |
| Document Number: | P99000023897 |
| FEI/EIN Number |
650925661
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 9900 STIRLING ROAD, COOPER CITY, FL, 33024, US |
| Mail Address: | 9900 STIRLING ROAD, COOPER CITY, FL, 33024, US |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962410381 | 2006-08-03 | 2012-03-12 | 1 SW 129TH AVE, PEMBROKE PINES, FL, 330271761, US | 1 SW 129TH AVE, PEMBROKE PINES, FL, 330271761, US | |||||||||||||||||||||||||||||||
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| Phone | +1 954-441-9995 |
| Fax | 9544419033 |
Authorized person
| Name | DR. MARK JAFFE |
| Role | PRESIDENT |
| Phone | 9544419995 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME0068879 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 379137800 |
| State | FL |
| Issuer | MEDICARE PTAN |
| Number | FR664A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JAFFE MARK M | President | 9900 STIRLING ROAD, COOPER CITY, FL, 33024 |
| JAFFE MARK M | Agent | 9900 STIRLING ROAD, COOPER CITY, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-01 | 9900 STIRLING ROAD, SUITE 102, COOPER CITY, FL 33024 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-09-06 | 9900 STIRLING ROAD, SUITE 102, COOPER CITY, FL 33024 | - |
| CHANGE OF MAILING ADDRESS | 2018-09-06 | 9900 STIRLING ROAD, SUITE 102, COOPER CITY, FL 33024 | - |
| REGISTERED AGENT NAME CHANGED | 2009-03-19 | JAFFE, MARK MD | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-02-27 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-03-01 |
| ANNUAL REPORT | 2018-03-18 |
| ANNUAL REPORT | 2017-01-15 |
| ANNUAL REPORT | 2016-02-04 |
| ANNUAL REPORT | 2015-01-14 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
