| Entity Name: | BRUSH CORAL SPRINGS PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Oct 2017 (7 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 14 Nov 2017 (7 years ago) |
| Document Number: | L17000221289 |
| FEI/EIN Number | 82-3225560 |
| Mail Address: | 8975 W Atlantic Ave, Delray Beach, FL 33446 |
| Address: | 961 N. UNIVERSITY DRIVE, CORAL SPRINGS, FL 33071 |
| ZIP code: | 33071 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841703790 | 2017-11-14 | 2017-11-14 | 961 N UNIVERSITY DR, CORAL SPRINGS, FL, 330717048, US | 961 N UNIVERSITY DR, CORAL SPRINGS, FL, 330717048, US | |||||||||||||||||||||||||||||||
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| Phone | +1 954-753-1600 |
| Fax | 9547536609 |
Authorized person
| Name | KATHY ANN SWEENEY |
| Role | PRACTICE ADMINISTRATOR |
| Phone | 9547531600 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | DN19814 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | DN14279 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | GENERAL |
| Number | 123456789 |
| Name | Role |
|---|---|
| BRUSH MANAGEMENT LLC | Agent |
| Name | Role | Address |
|---|---|---|
| HORWITZ, STEVEN | Manager | 125 CRAWFORD BLVD, BOCA RATON, FL 33432 |
| Name | Role | Address |
|---|---|---|
| Friend, Martin | Authorized Representative | 2357 NW 59th St, Boca Raton, FL 33496 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000123312 | BRUSH DENTAL | EXPIRED | 2017-11-08 | 2022-12-31 | No data | 950 PENINSULA CORPORATE CIR, SUITE 3014, BOCA RATON, FL, 33487 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-01-27 | 961 N. UNIVERSITY DRIVE, CORAL SPRINGS, FL 33071 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-27 | 8975 W Atlantic Ave, Delray Beach, FL 33446 | No data |
| LC AMENDMENT | 2017-11-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-07-16 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-02-25 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-16 |
| LC Amendment | 2017-11-14 |
| Florida Limited Liability | 2017-10-25 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
