| Entity Name: | PAD SPECIALISTS - BROWARD PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 May 2021 (4 years ago) |
| Document Number: | L21000215430 |
| FEI/EIN Number | 86-3878061 |
| Address: | 810 S STATE RD 7, PLANTATION, FL, 33317 |
| Mail Address: | 3730 KIRBY DR, SUITE 1200, HOUSTON, TX, 77098 |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518531193 | 2021-05-18 | 2021-05-18 | 3730 KIRBY DRIVE, STE 1200, HOUSTON, TX, 770983985, US | 810 S STATE ROAD 7, PLANTATION, FL, 333174551, US | |||||||||||||||||||||||||||||||
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| Phone | +1 281-888-8999 |
| Fax | 2813054054 |
Authorized person
| Name | DR. ANDREW E GOMES |
| Role | CEO |
| Phone | 2818888999 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | No |
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GOMES ANDREW E | Agent | 810 S STATE RD 7, PLANTATION, FL, 33317 |
| Name | Role | Address |
|---|---|---|
| GOMES ANDREW E | Manager | 911 FLORIENCIA ST, SUGAR LAND, TX, 77479 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-22 |
| Florida Limited Liability | 2021-05-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
