| Entity Name: | BROWARD INTENSIVIST GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 12 Sep 2013 (11 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L13000128909 |
| Address: | 9633 WEST BROWARD BLVD., SUITE #6, PLANTATION, FL 33324 |
| Mail Address: | 9633 WEST BROWARD BLVD., SUITE #6, PLANTATION, FL 33324 |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972930980 | 2013-10-04 | 2013-10-04 | 9633 W BROWARD BLVD, SUITE 6, PLANTATION, FL, 333242332, US | 9633 W BROWARD BLVD, SUITE 6, PLANTATION, FL, 333242332, US | |||||||||||||||||||
|
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| Phone | +1 954-835-0005 |
| Fax | 9544728271 |
Authorized person
| Name | DR. MICHAEL A FLICKER |
| Role | OWNER |
| Phone | 9548350005 |
Taxonomy
| Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
| License Number | OS5264 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FLICKER, MICHAEL | Agent | 9633 WEST BROWARD BLVD., SUITE #6, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| FLICKER, MICHAEL | Managing Member | 9633 WEST BROWARD BLVD. SUITE #6, PLANTATION, FL 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2013-09-12 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
