| Entity Name: | BROWARD MULTISPECIALTY GROUP, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 01 May 2007 (18 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | L07000046432 |
| FEI/EIN Number | 20-8978748 |
| Address: | 401 EAST LAS OLAS BLVD., 130-137, FORT LAUDERDALE, FL 33301 |
| Mail Address: | 401 EAST LAS OLAS BLVD., 130-137, FORT LAUDERDALE, FL 33301 |
| ZIP code: | 33301 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730403122 | 2010-03-15 | 2010-03-15 | 401 E LAS OLAS BLVD, SUITE 130-137, FORT LAUDERDALE, FL, 333012210, US | 160 NW 170TH ST, NORTH MIAMI BEACH, FL, 331695521, US | |||||||||||||||||||
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| Phone | +1 954-616-3627 |
| Fax | 9544148453 |
Authorized person
| Name | GABRIELLE FINLEY-HAZLE |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 9546163627 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| HOWARD J. MOFSEN, C.P.A., P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| MCKENZIE, WILFRED | Manager | 401 EAST LAS OLAS BLVD SUITE 130-137, FORT LAUDERDALE, FL 33301 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-29 | 401 EAST LAS OLAS BLVD., 130-137, FORT LAUDERDALE, FL 33301 | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-29 | 401 EAST LAS OLAS BLVD., 130-137, FORT LAUDERDALE, FL 33301 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-01-31 | 9728 WEST SAMPLE ROAD, CORAL SPRINGS, FL 33065 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-04-29 |
| ANNUAL REPORT | 2009-01-31 |
| ANNUAL REPORT | 2008-04-24 |
| Florida Limited Liability | 2007-05-01 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
