| Entity Name: | SELBOURNE GOODE MD PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SELBOURNE GOODE MD PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 14 May 2012 (13 years ago) |
| Date of dissolution: | 25 Sep 2015 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (10 years ago) |
| Document Number: | L12000064543 |
| FEI/EIN Number |
45-5261875
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 601 N Flamingo Rd, PEMBROKE PINES, FL, 33028, US |
| Mail Address: | 601 N Flamingo Rd, PEMBROKE PINES, FL, 33028, US |
| ZIP code: | 33028 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417216268 | 2012-05-15 | 2014-04-18 | 601 N. FLAMINGO RD, SUITE 305, PEMBROKE PINES, FL, 330281010, US | 601 N. FLAMINGO RD, SUITE 305, PEMBROKE PINES, FL, 330281010, US | |||||||||||||||||||||
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| Phone | +1 954-442-0025 |
| Fax | 9544420026 |
Authorized person
| Name | SELBOURNE GOODE |
| Role | OWNER |
| Phone | 9544420025 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 256577300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GOODE SELBOURNE | Manager | 601 N Flamingo Rd, PEMBROKE PINES, FL, 33028 |
| GOODE SELBOURNE | Agent | 601 N Flamingo Rd, PEMBROKE PINES, FL, 33028 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2013-02-08 | 601 N Flamingo Rd, Suite 305, PEMBROKE PINES, FL 33028 | - |
| CHANGE OF MAILING ADDRESS | 2013-02-08 | 601 N Flamingo Rd, Suite 305, PEMBROKE PINES, FL 33028 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2013-02-08 | 601 N Flamingo Rd, Suite 305, PEMBROKE PINES, FL 33028 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-03-05 |
| ANNUAL REPORT | 2013-02-08 |
| Florida Limited Liability | 2012-05-14 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
