| Entity Name: | SUNRISE PULMONARY GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 01 Jul 1968 (57 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | 600397 |
| FEI/EIN Number | 59-1213506 |
| Address: | 6245 N. FEDERAL HIGHWAY, SUITE 300, FT. LAUDERDALE, FL 33308 |
| Mail Address: | 6245 N. FEDERAL HIGHWAY, SUITE 300, FT. LAUDERDALE, FL 33308 |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952317778 | 2006-08-01 | 2011-03-31 | 6245 N FEDERAL HWY, SUITE 300, FORT LAUDERDALE, FL, 333081915, US | 7369 SHERIDAN ST, SUITE 302, HOLLYWOOD, FL, 330242776, US | |||||||||||||||||||||||||||||
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| Phone | +1 954-957-7171 |
| Fax | 9547450501 |
| Phone | +1 954-981-3700 |
| Fax | 9549874414 |
Authorized person
| Name | GIOVANNE ZYGALA |
| Role | CREDENTIALING MANAGER |
| Phone | 9549577171 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | HCC6392 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 271236900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HARKINS, CHRISTOPHER | Agent | 6245 N FEDERAL HIGHWAY, SUITE 300, FT LAUDERDALE, FL 33308 |
| Name | Role | Address |
|---|---|---|
| NAGER, BRUCE A.. | President | 6245 N. FEDERAL HWY., SUITE 300, FT. LAUDERDALE, FL 33308 |
| Name | Role | Address |
|---|---|---|
| NAGER, BRUCE A.. | Director | 6245 N. FEDERAL HWY., SUITE 300, FT. LAUDERDALE, FL 33308 |
| HARKINS, CHRISTOPHER T. | Director | 6245 N. FEDERAL HWY., SUITE 300, FT. LAUDERDALE, FL 33308 |
| Name | Role | Address |
|---|---|---|
| HARKINS, CHRISTOPHER T. | Secretary | 6245 N. FEDERAL HWY., SUITE 300, FT. LAUDERDALE, FL 33308 |
| Name | Role | Address |
|---|---|---|
| HARKINS, CHRISTOPHER T. | Treasurer | 6245 N. FEDERAL HWY., SUITE 300, FT. LAUDERDALE, FL 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-03-09 | HARKINS, CHRISTOPHER | No data |
| REINSTATEMENT | 2018-03-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-03-19 | 6245 N. FEDERAL HIGHWAY, SUITE 300, FT. LAUDERDALE, FL 33308 | No data |
| CHANGE OF MAILING ADDRESS | 2010-03-19 | 6245 N. FEDERAL HIGHWAY, SUITE 300, FT. LAUDERDALE, FL 33308 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-03-24 | 6245 N FEDERAL HIGHWAY, SUITE 300, FT LAUDERDALE, FL 33308 | No data |
| RESTATED ARTICLES AND NAME CHANGE | 2004-04-29 | SUNRISE PULMONARY GROUP, INC. | No data |
| NAME CHANGE AMENDMENT | 2000-05-18 | MEDICAL ASSOCIATES OF SOUTH BROWARD, P.A. | No data |
| NAME CHANGE AMENDMENT | 1995-03-27 | KLOTZ, NEUHAUS & GITTLER, P.A. | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2018-03-09 |
| ANNUAL REPORT | 2011-04-08 |
| ANNUAL REPORT | 2010-03-19 |
| ANNUAL REPORT | 2009-03-24 |
| ANNUAL REPORT | 2008-04-22 |
| ANNUAL REPORT | 2007-04-18 |
| ANNUAL REPORT | 2006-05-01 |
| ANNUAL REPORT | 2005-04-26 |
| Restated Articles & Name Chan | 2004-04-29 |
| ANNUAL REPORT | 2004-03-10 |
Date of last update: 06 Feb 2025
Sources: Florida Department of State
