| Entity Name: | BERENS MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 08 Sep 1987 (37 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 21 Feb 2012 (13 years ago) |
| Document Number: | J91197 |
| FEI/EIN Number | 65-0006484 |
| Address: | 969 NORTH NOB HILL RD, PLANTATION, FL 33324 |
| Mail Address: | 969 NORTH NOB HILL RD, PLANTATION, FL 33324 |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801160015 | 2012-03-06 | 2012-03-06 | 969 N NOB HILL RD, PLANTATION, FL, 333241078, US | 969 N NOB HILL RD, PLANTATION, FL, 333241078, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 954-916-1100 |
| Fax | 9549161104 |
Authorized person
| Name | DR. ABRAM BERENS |
| Role | PRESIDENT |
| Phone | 9549161100 |
Taxonomy
| Taxonomy Code | 207NS0135X - Procedural Dermatology Physician |
| License Number | ME0045001 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2083A0100X - Aerospace Medicine Physician |
| License Number | ME0045001 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME0045001 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BERENS, ABRAM, MD | Agent | 969 NORTH NOB HILL RD, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| BERENS, ABRAM, MD | President | 969 NORTH NOB HILL RD, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| BERENS, ABRAM, MD | Vice President | 969 NORTH NOB HILL RD, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| BERENS, ABRAM, MD | Treasurer | 969 NORTH NOB HILL RD, PLANTATION, FL 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-16 | BERENS, ABRAM, MD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-02-21 | 969 NORTH NOB HILL RD, PLANTATION, FL 33324 | No data |
| REINSTATEMENT | 2012-02-21 | No data | No data |
| PENDING REINSTATEMENT | 2012-02-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-04-16 | 969 NORTH NOB HILL RD, PLANTATION, FL 33324 | No data |
| CHANGE OF MAILING ADDRESS | 2004-04-16 | 969 NORTH NOB HILL RD, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-01-16 |
| ANNUAL REPORT | 2022-01-12 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-02-27 |
| ANNUAL REPORT | 2018-03-08 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-02-25 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
