| Entity Name: | DR. MARK ISENBERG, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Sep 1999 (25 years ago) |
| Document Number: | P99000084261 |
| FEI/EIN Number | 593603024 |
| Address: | 6109 North Davis Highway, Pensacola, FL, 32504, US |
| Mail Address: | 450 HICKORY NUT AVENUE, OLDSMAR, FL, 34677 |
| ZIP code: | 32504 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255365177 | 2006-07-10 | 2024-01-03 | 4311 BAYOU BLVD APT A8, PENSACOLA, FL, 325032621, US | 6109 N DAVIS HWY, PENSACOLA, FL, 325046949, US | |||||||||||||||||||||
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| Phone | +1 727-639-1973 |
| Fax | 8662589993 |
| Phone | +1 850-741-2251 |
Authorized person
| Name | MARK S ISENBERG |
| Role | PRESIDENT |
| Phone | 7276391973 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| License Number | PO0001247 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOLLE MARCIA G | Agent | 450 HICKORY NUT AVENUE, OLDSMAR, FL, 34677 |
| Name | Role | Address |
|---|---|---|
| ISENBERG MARK S | President | 450 HICKORY NUT AVENUE, OLDSMAR, FL, 34677 |
| Name | Role | Address |
|---|---|---|
| ISENBERG MARK S | Director | 450 HICKORY NUT AVENUE, OLDSMAR, FL, 34677 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-28 | 6109 North Davis Highway, Pensacola, FL 32504 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-03-04 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-02-26 |
| ANNUAL REPORT | 2020-04-17 |
| ANNUAL REPORT | 2019-05-06 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-04-07 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
