| Entity Name: | BROWARD ADDICTION MEDICAL CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 18 Jan 2017 (8 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L17000014845 |
| FEI/EIN Number | 81-5229687 |
| Address: | 3194 W COMMERCIAL BLVD, TAMARAC, FL 33309 |
| Mail Address: | 3194 W COMMERCIAL BLVD, TAMARAC, FL 33309 |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730680224 | 2018-02-21 | 2018-02-21 | 3194 W COMMERCIAL BLVD, TAMARAC, FL, 333093450, US | 3194 W COMMERCIAL BLVD, TAMARAC, FL, 333093450, US | |||||||||||||||
|
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| Phone | +1 954-507-0591 |
Authorized person
| Name | BRENT ORTNER |
| Role | DIRECTOR |
| Phone | 3236080401 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HELFELD, CHARLES D, DO | Agent | 3194 W COMMERCIAL BLVD, TAMARAC, FL 33309 |
| Name | Role | Address |
|---|---|---|
| AKERS, TERESITA | Vice President | 3194 W COMMERCIAL BLVD, TAMARAC, FL 33309 |
| Name | Role | Address |
|---|---|---|
| AIELLO-ORTNER, BRENT | Manager | 3194 W COMMERCIAL BLVD, TAMARAC, FL 33309 |
| Name | Role | Address |
|---|---|---|
| AIELLO-ORTNER, BRENT | Director | 3194 W COMMERCIAL BLVD, TAMARAC, FL 33309 |
| Name | Role | Address |
|---|---|---|
| HELFELD, CHARLES | Chief Executive Officer | 3194 W COMMERCIAL BLVD, TAMARAC, FL 33309 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000075165 | BROWARD MEDICAL CENTER | EXPIRED | 2017-07-12 | 2022-12-31 | No data | 3194 W. COMMERCIAL BLVD, TAMARAC, FL, 33309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| LC AMENDMENT | 2017-05-11 | No data | No data |
| LC AMENDMENT | 2017-02-09 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-02-28 |
| LC Amendment | 2017-05-11 |
| LC Amendment | 2017-02-09 |
| Florida Limited Liability | 2017-01-18 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
