| Entity Name: | ADULT MEDICINE OF BROWARD AND PALM BEACH COUNTIES, PL |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Feb 2004 (21 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L04000010350 |
| FEI/EIN Number | 200577484 |
| Address: | 3467 W HILLSBORO BLVD, STE A, DEERFIELD BEACH, FL, 33442 |
| Mail Address: | 3467 W HILLSBORO BLVD, STE A, DEERFIELD BEACH, FL, 33442 |
| ZIP code: | 33442 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356454904 | 2006-08-17 | 2011-01-05 | 3467 W HILLSBORO BLVD, SUITE A, DEERFIELD BEACH, FL, 334429473, US | 3467 W HILLSBORO BLVD, SUITE A, DEERFIELD BEACH, FL, 334429473, US | |||||||||||||||||||||
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| Phone | +1 954-420-0886 |
| Fax | 9544200964 |
Authorized person
| Name | MS. DENISE D HAUSER |
| Role | OFFICE ADMINISTRATOR |
| Phone | 9544200886 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PTAN |
| Number | K9220 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SILVERMAN JOEL I | Agent | 3467 W HILLSBORO BLVD, DEERFIELD BEACH, FL, 33442 |
| Name | Role | Address |
|---|---|---|
| SILVERMAN JOEL I | Manager | 3467 W HILLSBORO BLVD #A, DEERFIELD BEACH, FL, 33442 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-04-21 | 3467 W HILLSBORO BLVD, STE A, DEERFIELD BEACH, FL 33442 | No data |
| CHANGE OF MAILING ADDRESS | 2006-04-21 | 3467 W HILLSBORO BLVD, STE A, DEERFIELD BEACH, FL 33442 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-21 | 3467 W HILLSBORO BLVD, STE A, DEERFIELD BEACH, FL 33442 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-03-22 |
| ANNUAL REPORT | 2011-04-18 |
| ANNUAL REPORT | 2010-03-31 |
| ANNUAL REPORT | 2009-04-21 |
| ANNUAL REPORT | 2008-04-15 |
| ANNUAL REPORT | 2007-04-26 |
| ANNUAL REPORT | 2006-04-21 |
| ANNUAL REPORT | 2005-08-31 |
| Florida Limited Liabilites | 2004-02-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
