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  5. BROWARD FAMILY MEDICAL GROUP, L.L.C.

BROWARD FAMILY MEDICAL GROUP, L.L.C.

Company Details

Entity Name: BROWARD FAMILY MEDICAL GROUP, L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Apr 2007 (18 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 16 Aug 2011 (14 years ago)
Document Number: L07000042435
FEI/EIN Number 208862151
Address: 2701 N.E. 14 STREET CSWY, STE 5, POMPANO BEACH, FL, 33062
Mail Address: 2701 N.E. 14 STREET CSWY, STE 5, POMPANO BEACH, FL, 33062
ZIP code: 33062
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992984652 2007-10-30 2008-03-05 2701 NE 14TH STREET CSWY, SUITE 5, POMPANO BEACH, FL, 330623535, US 2701 NE 14TH STREET CSWY, SUITE 5, POMPANO BEACH, FL, 330623535, US

Contacts
Phone +1 954-545-1560
Fax 9545451560

Authorized person
Name GLEN A WASKIN
Role OWNER
Phone 9545451560

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BROWARD FAMILY MEDICAL GROUP, L.L.C. 401(K) PLAN 2023 208862151 2024-09-04 BROWARD FAMILY MEDICAL GROUP, L.L.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9545451560
Plan sponsor’s address 2701 NE 14 STREET CAUSEWAY, SUITE 5, POMPANO BEACH, FL, 33062
BROWARD FAMILY MEDICAL GROUP, L.L.C. 401(K) PLAN 2022 208862151 2023-07-12 BROWARD FAMILY MEDICAL GROUP, L.L.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9545451560
Plan sponsor’s address 2701 NE 14 STREET CAUSEWAY, SUITE 5, POMPANO BEACH, FL, 33062
BROWARD FAMILY MEDICAL GROUP, L.L.C. 401(K) PLAN 2021 208862151 2022-07-19 BROWARD FAMILY MEDICAL GROUP, L.L.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9545451560
Plan sponsor’s address 2701 NE 14 STREET CAUSEWAY, SUITE 5, POMPANO BEACH, FL, 33062
BROWARD FAMILY MEDICAL GROUP, L.L.C. 401(K) PLAN 2020 208862151 2021-09-09 BROWARD FAMILY MEDICAL GROUP, L.L.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9545451560
Plan sponsor’s address 2701 NE 14 STREET CAUSEWAY, SUITE 5, POMPANO BEACH, FL, 33062
BROWARD FAMILY MEDICAL GROUP, L.L.C. 401(K) PLAN 2019 208862151 2020-04-20 BROWARD FAMILY MEDICAL GROUP, L.L.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9545451560
Plan sponsor’s address 2701 NE 14 STREET CAUSEWAY, SUITE 5, POMPANO BEACH, FL, 33062
BROWARD FAMILY MEDICAL GROUP, L.L.C. 401(K) PLAN 2018 208862151 2019-05-24 BROWARD FAMILY MEDICAL GROUP, L.L.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9545451560
Plan sponsor’s address 2701 NE 14 STREET CAUSEWAY, SUITE 5, POMPANO BEACH, FL, 33062
BROWARD FAMILY MEDICAL GROUP, L.L.C. 401(K) PLAN 2018 208862151 2019-05-24 BROWARD FAMILY MEDICAL GROUP, L.L.C. 6
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9545451560
Plan sponsor’s address 2701 NE 14 STREET CAUSEWAY, SUITE 5, POMPANO BEACH, FL, 33062
BROWARD FAMILY MEDICAL GROUP, L.L.C. 401(K) PLAN 2017 208862151 2018-10-12 BROWARD FAMILY MEDICAL GROUP, L.L.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9545451560
Plan sponsor’s address 2701 NE 14 STREET CAUSEWAY, SUITE 5, POMPANO BEACH, FL, 33062
BROWARD FAMILY MEDICAL GROUP, L.L.C. 401(K) PLAN 2016 208862151 2017-11-29 BROWARD FAMILY MEDICAL GROUP, L.L.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9545451560
Plan sponsor’s address 2701 NE 14 STREET CAUSEWAY, SUITE 5, POMPANO BEACH, FL, 33062
BROWARD FAMILY MEDICAL GROUP, L.L.C. 401(K) PLAN 2015 208862151 2016-09-21 BROWARD FAMILY MEDICAL GROUP, L.L.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9545451560
Plan sponsor’s address 2701 NE 14 STREET CSWY, SUITE 5, POMPANO BEACH, FL, 33062

Agent

Name Role Address
GREEN MITCHELL F Agent 4000 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021

Managing Member

Name Role Address
WASKIN GLEN A Managing Member 2701 N.E. 14 STREET CSWY, STE 5, POMPANO BEACH, FL, 33062

Events

Event Type Filed Date Value Description
REINSTATEMENT 2011-08-16 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
REGISTERED AGENT NAME CHANGED 2008-07-09 GREEN, MITCHELL F No data
REGISTERED AGENT ADDRESS CHANGED 2008-07-09 4000 HOLLYWOOD BLVD, SUITE 485 S, HOLLYWOOD, FL 33021 No data
LC AMENDMENT 2007-07-18 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-18
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-01-19
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-01-29
ANNUAL REPORT 2018-04-20
ANNUAL REPORT 2017-03-29
ANNUAL REPORT 2016-03-30
ANNUAL REPORT 2015-04-27

Related by officers

GREEN MITCHELL F

ARK TECHNOLOGIES, L.L.C. 202 GENERAL PARTNER, INC. SCOUT EVENTS, L.L.C. KARSYRA LLC MUSH MEDICAL SERVICES, INC. EAGLE II PACKAGING AND EXPORT, INC. SUBJAY, INC. ADVANCED WELLNESS MEDICAL CENTER, INC. BOCA ANESTHESIA SERVICES II, P.L. BRAG MANAGEMENT SERVICES, LTD.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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