Entity Name: | NORTHPOINT MEDICAL, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 03 Sep 1999 (25 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: | P99000080306 |
FEI/EIN Number | 650947318 |
Address: | 6278 N. FEDERAL HWY., #370, FORT LAUDERDALE, FL, 33308 |
Mail Address: | 6278 N. FEDERAL HWY., #370, FORT LAUDERDALE, FL, 33308 |
ZIP code: | 33308 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1376581264 | 2006-06-03 | 2020-08-22 | 6405 N FEDERAL HWY, SUITE 205, FT LAUDERDALE, FL, 333081412, US | 6405 N FEDERAL HWY, SUITE 205, FT LAUDERDALE, FL, 333081412, US | |||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 954-772-2411 |
Fax | 9547723766 |
Authorized person
Name | DR. TODD A. FRALICH |
Role | MEDICAL DIRECTOR |
Phone | 9547722411 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
License Number | OS9426 |
State | FL |
Is Primary | No |
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | ME 78680 |
State | FL |
Is Primary | No |
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | ME 92140 |
State | FL |
Is Primary | No |
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | ME 94965 |
State | FL |
Is Primary | No |
Name | Role | Address |
---|---|---|
FRALICH TODD A | Agent | 6405 N FEDERAL HWY, FORT LAUDERDALE, FL, 33308 |
Name | Role | Address |
---|---|---|
FRALICH TODD M | President | 6405 N FEDERAL HWY STE 205, FORT LAUDERDALE, FL, 33308 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2008-11-24 | 6278 N. FEDERAL HWY., #370, FORT LAUDERDALE, FL 33308 | No data |
CHANGE OF MAILING ADDRESS | 2008-11-24 | 6278 N. FEDERAL HWY., #370, FORT LAUDERDALE, FL 33308 | No data |
NAME CHANGE AMENDMENT | 2002-03-25 | NORTHPOINT MEDICAL, P.A. | No data |
REGISTERED AGENT ADDRESS CHANGED | 2000-03-22 | 6405 N FEDERAL HWY, STE 205, FORT LAUDERDALE, FL 33308 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2008-04-21 |
ANNUAL REPORT | 2007-03-04 |
ANNUAL REPORT | 2006-04-02 |
ANNUAL REPORT | 2005-06-04 |
ANNUAL REPORT | 2004-07-19 |
ANNUAL REPORT | 2003-03-24 |
Name Change | 2002-03-25 |
ANNUAL REPORT | 2002-01-11 |
ANNUAL REPORT | 2001-04-12 |
ANNUAL REPORT | 2000-03-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State