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INPHYNET SOUTH BROWARD, LLC - Florida Company Profile

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Company Details

Entity Name: INPHYNET SOUTH BROWARD, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 Dec 2014 (11 years ago)
Last Event: CONVERSION
Event Date Filed: 23 Dec 2014 (11 years ago)
Document Number: L14000195064
FEI/EIN Number 65-0726225
Mail Address: 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919, US
Address: 1643 NW 136TH AVE, BUILDING H, SUITE 100, Sunrise, FL, 33323, US
ZIP code: 33323
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Links between entities

Type:
Headquarter of
Company Number:
7399339
State:
NEW YORK
Type:
Headquarter of
Company Number:
20241850227
State:
COLORADO
Type:
Headquarter of
Company Number:
3056259
State:
CONNECTICUT

Key Officers & Management

Name Role Address
- Member -
- Agent -
Corvini Michael President 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919
Evans Rob Vice President 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919
Leone Alice Treasurer 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919
Stair John R Asst 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919
Barrack John Asst 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919

National Provider Identifier

NPI Number:
1871521880
Certification Date:
2020-09-10

Authorized Person:

Name:
MICHAEL D CORVINI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207PP0204X - Pediatric Emergency Medicine (Emergency Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
2080P0204X - Pediatric Emergency Medicine (Pediatrics) Physician
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No

Contacts:

Fax:
9543773042

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-04-10 1643 NW 136TH AVE, BUILDING H, SUITE 100, Sunrise, FL 33323 -
CHANGE OF PRINCIPAL ADDRESS 2022-04-12 1643 NW 136TH AVE, BUILDING H, SUITE 100, Sunrise, FL 33323 -
CONVERSION 2014-12-23 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P96000097698. CONVERSION NUMBER 500000147705

Documents

Name Date
ANNUAL REPORT 2024-04-10
ANNUAL REPORT 2023-04-12
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-06-04
ANNUAL REPORT 2019-04-10
ANNUAL REPORT 2018-04-18
ANNUAL REPORT 2017-04-11
ANNUAL REPORT 2016-04-21
ANNUAL REPORT 2015-04-14

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Date of last update: 02 Jul 2025

Sources: Florida Department of State