| Entity Name: | PEMBROKE PINES MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PEMBROKE PINES MEDICAL CENTER, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 30 Aug 1977 (48 years ago) |
| Date of dissolution: | 05 Dec 1978 (46 years ago) |
| Last Event: | INVOLUNTARILY DISSOLVED |
| Event Date Filed: | 05 Dec 1978 (46 years ago) |
| Document Number: | 544121 |
| FEI/EIN Number |
000000000
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2131 HOLLYWOOD BLVD, SUITE 205, HOLLYWOOD, FL, 33020 |
| Mail Address: | 2131 HOLLYWOOD BLVD, SUITE 205, HOLLYWOOD, FL, 33020 |
| ZIP code: | 33020 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588849723 | 2008-01-07 | 2010-03-10 | 18219 PINES BLVD, PEMBROKE PINES, FL, 330291417, US | 18219 PINES BLVD, PEMBROKE PINES, FL, 330291417, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 954-436-1212 |
| Fax | 9544355444 |
Authorized person
| Name | RICHARD A KOBY |
| Role | VICE PRESIDENT |
| Phone | 3058216600 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME49055 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AVMED KOBY |
| Number | 014686 |
| State | FL |
| Issuer | AETNA KOBY |
| Number | 4337911 |
| State | FL |
| Issuer | AVMED ZALIS |
| Number | 265997 |
| State | FL |
| Issuer | BCBS ZALIS |
| Number | 79162 |
| State | FL |
| Issuer | HUMANA |
| Number | 170130 |
| State | FL |
| Issuer | MCR KOBY |
| Number | 02704 |
| State | FL |
| Issuer | MEDICAID |
| Number | 044892300 |
| State | FL |
| Issuer | NHP ZALIS |
| Number | 001729 |
| State | FL |
| Issuer | NHP KOBY |
| Number | 000901 |
| State | FL |
| Issuer | MEDICAID |
| Number | 039823300 |
| State | FL |
| Issuer | AETNA ZALIS |
| Number | 4521008 |
| State | FL |
| Issuer | JMH KOBY |
| Number | 7900000 |
| State | FL |
| Issuer | MCR ZALIS |
| Number | 79162 |
| State | FL |
| Issuer | BCBS KOBY |
| Number | 02704 |
| State | FL |
| Issuer | JMH ZALIS |
| Number | 6972300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SIMRING, ELLIS | President | 2131 HOLLYWOOD BLVD #205, HOLLYWOOD, FL |
| SIMRING, ELLIS | Director | 2131 HOLLYWOOD BLVD #205, HOLLYWOOD, FL |
| SIMRING, ELLIS S. | Agent | 2131 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| INVOLUNTARILY DISSOLVED | 1978-12-05 | - | - |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
