Entity Name: | ALBERT R. BROWN, D.P.M., P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 22 Jun 1976 (49 years ago) |
Document Number: | 505685 |
FEI/EIN Number | 591675189 |
Address: | 5714 GUAVA DR, TAMARAC, FL, 33319, US |
Mail Address: | 5714 GUAVA DR, TAMARAC, FL, 33319, US |
ZIP code: | 33319 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1548272610 | 2006-08-13 | 2016-08-25 | 4640 N FEDERAL HWY, FORT LAUDERDALE, FL, 333085205, US | 4640 N FEDERAL HWY, FORT LAUDERDALE, FL, 333085205, US | |||||||||||||||||||
|
Phone | +1 954-776-5851 |
Fax | 9547760043 |
Authorized person
Name | DR. ALBERT R BROWN |
Role | PRESIDENT |
Phone | 9547765851 |
Taxonomy
Taxonomy Code | 213ES0131X - Foot Surgery Podiatrist |
License Number | 548 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BROWN, ALBERT R. | Agent | 5714 GUAVA DR, TAMARAC, FL, 33319 |
Name | Role | Address |
---|---|---|
BROWN, ALBERT R. | President | 5714 GUAVA DR, TAMARAC, FL, 33319 |
Name | Role | Address |
---|---|---|
BROWN, ALBERT R. | Director | 5714 GUAVA DR, TAMARAC, FL, 33319 |
Name | Role | Address |
---|---|---|
BROWN, STEVEN DR. | Secretary | 5714 GUAVA DR, TAMARAC, FL, 33319 |
Name | Role | Address |
---|---|---|
MCCRICKARD SHARON | Treasurer | 4002 CLOVERCROFT RD, FRANKLIN, TN |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2018-05-23 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State