| Entity Name: | COMPCARE MEDICAL CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Mar 2019 (6 years ago) |
| Document Number: | L19000070738 |
| FEI/EIN Number | 83-4004584 |
| Address: | 2701 W OAKLAND PARK BLVD, STE 310 4/6, OAKLAND PARK, FL, 33311, US |
| Mail Address: | 2701 W OAKLAND PARK BLVD, STE 310 4/6, Oakland Park, FL, 33311, US |
| ZIP code: | 33311 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114565124 | 2019-12-20 | 2023-08-02 | 2701 W OAKLAND PARK BLVD STE 3701 4/6, OAKLAND PARK, FL, 333111388, US | 2701 W OAKLAND PARK BLVD STE 310 4/6, OAKLAND PARK, FL, 333111389, US | |||||||||||||||||||||||
|
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| Phone | +1 954-306-3481 |
| Fax | 4453009263 |
Authorized person
| Name | MRS. STEPHANIE BROWN |
| Role | OWNER |
| Phone | 9543063481 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Brown Stephanie C | Agent | 1107 North 46th Terrace, HOLLYWOOD, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| BROWN STEPHANIE C | Auth | 1107 N 46TH TERRACE, HOLLYWOOD, FL, 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-29 | 2701 W OAKLAND PARK BLVD, STE 310 4/6, OAKLAND PARK, FL 33311 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-29 | 2701 W OAKLAND PARK BLVD, STE 310 4/6, OAKLAND PARK, FL 33311 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-02-25 | Brown, Stephanie C | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-25 | 1107 North 46th Terrace, HOLLYWOOD, FL 33021 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-03-29 |
| ANNUAL REPORT | 2022-02-25 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-02-13 |
| Florida Limited Liability | 2019-03-13 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
