| Entity Name: | SUNNY BRACES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Jun 2013 (12 years ago) |
| Document Number: | L13000091108 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 1994 E Sunrise Blvd, FT LAUDERDALE, FL, 33304, US |
| Mail Address: | 1994 E Sunrise Blvd, FT LAUDERDALE, FL, 33304, US |
| ZIP code: | 33304 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497148936 | 2015-03-09 | 2015-04-15 | 7280 W PALMETTO PARK RD STE 206, BOCA RATON, FL, 334333412, US | 7280 W PALMETTO PARK RD STE 206, BOCA RATON, FL, 334333412, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 301-922-2665 |
Authorized person
| Name | DR. NONA NAGHAVI |
| Role | DOCTOR |
| Phone | 3019222665 |
Taxonomy
| Taxonomy Code | 305S00000X - Point of Service |
| License Number | DN19915 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 922013Z |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NAGHAVI NONA | Agent | 1994 E Sunrise Blvd, FT LAUDERDALE, FL, 33304 |
| Name | Role | Address |
|---|---|---|
| NAGHAVI NONA | Manager | 1994 E Sunrise Blvd, FT LAUDERDALE, FL, 33304 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-07 | 1994 E Sunrise Blvd, #4A, FT LAUDERDALE, FL 33304 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-07 | 1994 E Sunrise Blvd, #4A, FT LAUDERDALE, FL 33304 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-07 | 1994 E Sunrise Blvd, #4A, FT LAUDERDALE, FL 33304 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-21 |
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-08 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-07 |
| ANNUAL REPORT | 2020-06-01 |
| ANNUAL REPORT | 2019-03-07 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-03-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
