| Entity Name: | P.H. EISENFELD, D.P.M., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 11 Dec 1990 (34 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 30 Jan 2014 (11 years ago) |
| Document Number: | S16877 |
| FEI/EIN Number | 65-0234454 |
| Address: | 9291 GLADES ROAD, STE 305, BOCA RATON, FL 33434 |
| Mail Address: | 9291 GLADES ROAD, STE 305, BOCA RATON, FL 33434 |
| ZIP code: | 33434 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700064896 | 2008-01-31 | 2010-10-19 | 9291 GLADES RD, SUITE 305, BOCA RATON, FL, 334343959, US | 9291 GLADES RD, SUITE 305, BOCA RATON, FL, 334343959, US | |||||||||||||||||||||||||||
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| Phone | +1 561-470-0077 |
| Fax | 5614700079 |
Authorized person
| Name | DR. PEPPY H. EISENFELD |
| Role | OWNER |
| Phone | 5614700077 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | PO1496 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| License Number | PO1496 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EISENFELD, P H | Agent | 9291 GLADES RD, SUITE 305, BOCA RATON, FL 33434 |
| Name | Role | Address |
|---|---|---|
| EISENFELD, P. H., D.P.M., P.A. | DR. | 9291 GLADES RD, BOCA RATON, FL 33434 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2014-01-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-22 | 9291 GLADES ROAD, STE 305, BOCA RATON, FL 33434 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2000-04-20 | 9291 GLADES ROAD, STE 305, BOCA RATON, FL 33434 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1997-04-23 | 9291 GLADES RD, SUITE 305, BOCA RATON, FL 33434 | No data |
| REINSTATEMENT | 1994-10-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1994-08-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 1992-04-22 | EISENFELD, P H | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-05-13 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-04-06 |
| ANNUAL REPORT | 2015-04-25 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7617447805 | 2020-06-03 | 0455 | PPP | 9291 Glades Road Suite 305, Boca Raton, FL, 33434-3905 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Feb 2025
Sources: Florida Department of State
