| Entity Name: | PINNACLE HEALTHCARE SYSTEM, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Sep 2008 (16 years ago) |
| Document Number: | L08000085924 |
| FEI/EIN Number | 26-3320373 |
| Address: | 3700 WASHINGTON STREET, SUITE 500A, HOLLYWOOD, FL 33021 |
| Mail Address: | 3700 WASHINGTON STREET, SUITE 500A, HOLLYWOOD, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225288392 | 2008-09-25 | 2024-08-05 | 3700 WASHINGTON ST STE 500A, HOLLYWOOD, FL, 330218256, US | 3700 WASHINGTON ST STE 500A, HOLLYWOOD, FL, 330218256, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 954-989-4700 |
| Fax | 9549894754 |
Authorized person
| Name | PRISCILLA BONELLI |
| Role | PRACTICE ADMINISTRATOR |
| Phone | 9549894700 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RC0001X - Clinical Cardiac Electrophysiology Physician |
| Is Primary | No |
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001609700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| STEINER, DAVID E, MD | Agent | 3700 WASHINGTON STREET, #500A, HOLLYWOOD, FL 33021 |
| Name | Role | Address |
|---|---|---|
| COHEN, MITCHELL B, MD | Managing Member | 10780 SANTA FE DR., COOPER CITY, FL 33026 |
| STEINER, DAVID E, MD | Managing Member | 10495 BERMUDA DR., COOPER CITY, FL 33026 |
| KHERADA, NISHARAHMED, MD | Managing Member | 3700 WASHINGTON STREET, SUITE 500A HOLLYWOOD, FL 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2025-02-11 | 3700 WASHINGTON STREET, SUITE 500A, HOLLYWOOD, FL 33021 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-02-11 | 3700 WASHINGTON STREET, #500A, HOLLYWOOD, FL 33021 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-01-29 | STEINER, DAVID E, MD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-30 | 3700 WASHINGTON STREET, #500A, HOLLYWOOD, FL 33021 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-24 | 3700 WASHINGTON STREET, SUITE 500A, HOLLYWOOD, FL 33021 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-24 | 3700 WASHINGTON STREET, SUITE 500A, HOLLYWOOD, FL 33021 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-11 |
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-02-05 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-04-29 |
Date of last update: 24 Feb 2025
Sources: Florida Department of State
