| Entity Name: | WEST BROWARD INTERNAL MEDICINE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
WEST BROWARD INTERNAL MEDICINE, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 20 Nov 2020 (4 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 23 Sep 2021 (4 years ago) |
| Document Number: | L20000367961 |
| FEI/EIN Number |
650703258
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6455 W. COMMERCIAL BLVD, TAMARAC, FL, 33319, US |
| Mail Address: | 6455 W. COMMERCIAL BLVD, TAMARAC, FL, 33319, US |
| ZIP code: | 33319 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871765727 | 2008-04-01 | 2023-11-27 | 6451 W COMMERCIAL BLVD, TAMARAC, FL, 333192110, US | 6451 W COMMERCIAL BLVD, TAMARAC, FL, 333192110, US | |||||||||||||||||||
|
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| Phone | +1 954-720-1414 |
| Fax | 9547204727 |
Authorized person
| Name | DR. SHAHRAD MABOURAKH |
| Role | PHYSICIAN |
| Phone | 9547201414 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME67283 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MABOURAKH SHAHRAD MD | Manager | 6455 W. COMMERCIAL BLVD, TAMARAC, FL, 33319 |
| MABOURAKH RUTH | Manager | 6455 W. COMMERCIAL BLVD, TAMARAC, FL, 33319 |
| KAREN B. SCHAPIRA, PLLC | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-29 | 6451 W. COMMERCIAL BLVD, TAMARAC, FL 33319 | - |
| CHANGE OF MAILING ADDRESS | 2024-01-29 | 6451 W. COMMERCIAL BLVD, TAMARAC, FL 33319 | - |
| REGISTERED AGENT NAME CHANGED | 2024-01-29 | KAREN B. SCHAPIRA, PLLC | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-29 | 11523 PALMBRUSH TRAIL, SUITE 316, LAKEWOOD RANCH, FL 34202 | - |
| NAME CHANGE AMENDMENT | 2021-09-23 | WEST BROWARD INTERNAL MEDICINE, PLLC | - |
| MERGER | 2021-09-23 | - | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 900000218559 |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-04-28 |
| Merger | 2021-09-23 |
| Name Change | 2021-09-23 |
| ANNUAL REPORT | 2021-05-01 |
| Florida Limited Liability | 2020-11-20 |
Date of last update: 01 May 2025
Sources: Florida Department of State
