| Entity Name: | MARVIN I. SCHIFF M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 14 Jan 1992 (33 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | V06389 |
| FEI/EIN Number | 65-0306373 |
| Address: | 27 NE 1ST AVE., POMPANO BCH., FL 33060 |
| Mail Address: | 27 NE 1ST AVE., POMPANO BCH., FL 33060 |
| ZIP code: | 33060 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265737134 | 2011-01-24 | 2011-01-24 | 27 NE 1ST AVE, POMPANO BEACH, FL, 330606609, US | 27 NE 1ST AVE, POMPANO BEACH, FL, 330606609, US | |||||||||||||||||||||||||
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| Phone | +1 954-942-1291 |
| Fax | 9547862055 |
Authorized person
| Name | DR. MARVIN I SCHIFF |
| Role | DOCTOR |
| Phone | 9549421291 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | 038797 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 069339100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SCHIFF, MARVIN I. | Agent | 27 NE 1ST AVE., POMPANO BCH., FL 33060 |
| Name | Role | Address |
|---|---|---|
| SCHIFF, MARVIN | Director | 27 NE FIRST AVE., POMPANO BCH., FL 33060 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-04-02 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-12 |
| ANNUAL REPORT | 2017-03-31 |
| ANNUAL REPORT | 2016-04-05 |
| ANNUAL REPORT | 2015-02-23 |
| ANNUAL REPORT | 2014-02-10 |
| ANNUAL REPORT | 2013-04-16 |
| ANNUAL REPORT | 2012-04-09 |
| ANNUAL REPORT | 2011-04-04 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
