| Entity Name: | BROWARD INSTITUTE FOR PHYSICAL REHABILITATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 23 Mar 1990 (35 years ago) |
| Date of dissolution: | 29 Dec 2015 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Dec 2015 (9 years ago) |
| Document Number: | L60585 |
| FEI/EIN Number | 65-0184636 |
| Address: | 4600 SHERIDAN STREET, SUITE 400, HOLLYWOOD, FL 33021 |
| Mail Address: | 4600 SHERIDAN STREET, SUITE 400, HOLLYWOOD, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578984266 | 2013-12-23 | 2013-12-23 | 4600 SHERIDAN ST, SUITE 400, HOLLYWOOD, FL, 330213409, US | 4600 SHERIDAN ST, SUITE 400, HOLLYWOOD, FL, 330213409, US | |||||||||||||||||
|
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| Phone | +1 954-483-6095 |
Authorized person
| Name | DR. JAY S MENDELSOHN |
| Role | OWNER/PRESIDENT |
| Phone | 9544836095 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | ME0040148 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MENDELSOHN, JAY S | Agent | 4600 SHERIDAN STREET, SUITE 400, HOLLYWOOD, FL 33021 |
| Name | Role | Address |
|---|---|---|
| MENDELSOHN, JAY S | President | 4600 SHERIDAN STREET, SUITE 400 HOLLYWOOD, FL 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-12-29 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2015-03-22 | 4600 SHERIDAN STREET, SUITE 400, HOLLYWOOD, FL 33021 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-12-19 | 4600 SHERIDAN STREET, SUITE 400, HOLLYWOOD, FL 33021 | No data |
| REINSTATEMENT | 2013-12-19 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-12-19 | 4600 SHERIDAN STREET, SUITE 400, HOLLYWOOD, FL 33021 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-12-19 | MENDELSOHN, JAY S | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2015-12-29 |
| ANNUAL REPORT | 2015-03-22 |
| ANNUAL REPORT | 2014-02-03 |
| REINSTATEMENT | 2013-12-19 |
| ANNUAL REPORT | 2012-03-27 |
| ANNUAL REPORT | 2011-01-06 |
| ANNUAL REPORT | 2010-02-16 |
| ANNUAL REPORT | 2009-02-09 |
| ANNUAL REPORT | 2008-03-24 |
| ANNUAL REPORT | 2007-02-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
