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MARK E. HALL, D.P.M., P.A.

Company Details

Entity Name: MARK E. HALL, D.P.M., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Sep 1999 (25 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 10 Oct 2011 (13 years ago)
Document Number: P99000078069
FEI/EIN Number 650960025
Address: 7556 LAKE WORTH ROAD, SUITE 104, LAKE WORTH, FL, 33467
Mail Address: 7556 LAKE WORTH ROAD, SUITE 104, LAKE WORTH, FL, 33467
ZIP code: 33467
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972789170 2008-01-17 2016-09-13 7556 LAKE WORTH RD, SUITE 104, LAKE WORTH, FL, 334672503, US 7556 LAKE WORTH RD, SUITE 104, LAKE WORTH, FL, 334672503, US

Contacts

Phone +1 561-966-5060
Fax 5619664489

Authorized person

Name DR. MARK E HALL
Role OWNER
Phone 5619665060

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number P02108
State FL
Is Primary Yes

Agent

Name Role Address
HALL MARK E Agent 7556 LAKE WORTH ROAD, SUITE 104, LAKE WORTH, FL, 33467

Director

Name Role Address
HALL MARK E Director 7556 LAKE WORTH ROAD, SUITE 104, LAKE WORTH, FL, 33467

Events

Event Type Filed Date Value Description
REINSTATEMENT 2011-10-10 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 No data No data
CANCEL ADM DISS/REV 2006-10-19 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 No data No data
CANCEL ADM DISS/REV 2004-11-08 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 No data No data
NAME CHANGE AMENDMENT 1999-10-20 MARK E. HALL, D.P.M., P.A. No data

Documents

Name Date
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-04-10
ANNUAL REPORT 2022-03-09
ANNUAL REPORT 2021-08-04
ANNUAL REPORT 2020-04-29
ANNUAL REPORT 2019-04-17
ANNUAL REPORT 2018-03-11
ANNUAL REPORT 2017-02-10
ANNUAL REPORT 2016-03-09
ANNUAL REPORT 2015-01-13

Date of last update: 03 Feb 2025

Sources: Florida Department of State