| Entity Name: | BROWARD OUTPATIENT URGENT CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Apr 2014 (11 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 07 Sep 2022 (2 years ago) |
| Document Number: | L14000066532 |
| FEI/EIN Number | 46-5538958 |
| Address: | 150 SW 12TH AVENUE, SUITE 440, POMPANO BEACH, FL 33069 |
| Mail Address: | 2091 NE 36TH STREET, STE 50010, POMPANO BEACH, FL 33074 |
| ZIP code: | 33069 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427468305 | 2014-05-01 | 2016-06-13 | 150 S ANDREWS AVE, SUITE 201, POMPANO BEACH, FL, 330693298, US | 150 S ANDREWS AVE, SUITE 201, POMPANO BEACH, FL, 330693298, US | |||||||||||||||||||||||
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| Phone | +1 954-941-2969 |
| Fax | 9549606858 |
Authorized person
| Name | MRS. STACEY B CASTROVINCI |
| Role | DIRECTOR OF OPERATIONS |
| Phone | 9549412969 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| License Number | 13815 |
| State | FL |
| Is Primary | No |
| Name | Role |
|---|---|
| NORTHWEST REGISTERED AGENT LLC | Agent |
| Name | Role |
|---|---|
| AMERICAN MEDICAL ADMINISTRATIVE SERVICES, LLC | Authorized Representative |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000036673 | BROWARD OUTPATIENT PRIMARY CARE CENTERS | EXPIRED | 2016-04-11 | 2021-12-31 | No data | 2091 NE 36TH STREET, SUITE 50010, LIGHTHOUSE POINT, FL, 33074 |
| G14000097014 | WORK COMP BUILDING | EXPIRED | 2014-09-23 | 2019-12-31 | No data | PO BOX 50010, LIGHTHOUSE POINT, FL, 33074 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-23 | 7901 4TH ST N, STE 300, ST PETERSBURG, FL 33702 | No data |
| LC STMNT OF RA/RO CHG | 2022-09-07 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-09-07 | NORTHWEST REGISTERED AGENT LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-26 | 150 SW 12TH AVENUE, SUITE 440, POMPANO BEACH, FL 33069 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-17 | 150 SW 12TH AVENUE, SUITE 440, POMPANO BEACH, FL 33069 | No data |
| LC AMENDMENT | 2017-06-14 | No data | No data |
| LC STMNT OF RA/RO CHG | 2017-04-21 | No data | No data |
| LC DISSOCIATION MEM | 2014-08-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-04-26 |
| CORLCRACHG | 2022-09-07 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-04-29 |
| AMENDED ANNUAL REPORT | 2020-05-26 |
| ANNUAL REPORT | 2020-04-27 |
| ANNUAL REPORT | 2019-04-17 |
| AMENDED ANNUAL REPORT | 2018-12-20 |
| ANNUAL REPORT | 2018-04-26 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
