| Entity Name: | PROFESSIONAL HEALTHCARE GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 31 Dec 2007 (17 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | L07000128271 |
| FEI/EIN Number | 261663031 |
| Address: | 150 SW 12TH AVE., 480, POMPANO BEACH, FL, 33069 |
| Mail Address: | 150 SW 12TH AVE., 480, POMPANO BEACH, FL, 33069 |
| ZIP code: | 33069 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639347214 | 2008-02-15 | 2008-02-15 | 150 SW 12TH AVE, SUITE 440, POMPANO BEACH, FL, 330693298, US | 150 SW 12TH AVE, SUITE 440, POMPANO BEACH, FL, 330693298, US | |||||||||||||||||
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| Phone | +1 954-943-8902 |
Authorized person
| Name | DR. STEWART E KOPP |
| Role | MEDICAL DIRECTOR |
| Phone | 9549438902 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | OS3754 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BALLINGER STEVEN R | Agent | 1792 BELL TOWER LANE, WESTON, FL, 33326 |
| Name | Role |
|---|---|
| DBEK MANAGEMENT, LLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-01-23 | 150 SW 12TH AVE., 480, POMPANO BEACH, FL 33069 | No data |
| CHANGE OF MAILING ADDRESS | 2009-01-23 | 150 SW 12TH AVE., 480, POMPANO BEACH, FL 33069 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-01-23 | BALLINGER, STEVEN RESQ | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-01-23 | 1792 BELL TOWER LANE, WESTON, FL 33326 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-01-23 |
| ANNUAL REPORT | 2008-04-23 |
| Florida Limited Liability | 2007-12-31 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
