| Entity Name: | WEST BROWARD PEDIATRICS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Aug 1988 (36 years ago) |
| Document Number: | M93533 |
| FEI/EIN Number | 650059171 |
| Address: | 220 SW 84TH AVE, STE 206, PLANTATION, FL, 33324, US |
| Mail Address: | 220 SW 84TH AVE, STE 206, PLANTATION, FL, 33324, US |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952450520 | 2007-01-10 | 2020-08-22 | 220 SW 84TH AVE, SUITE 206, PLANTATION, FL, 333242754, US | 220 SW 84TH AVE, SUITE 206, PLANTATION, FL, 333242754, US | |||||||||||||||
|
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| Phone | +1 954-423-2300 |
| Fax | 9544244200 |
Authorized person
| Name | DR. MICHAEL MORRISON |
| Role | GENERAL PARTNER |
| Phone | 9544232300 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Morrison Michael Dr. | Agent | 220 SW 84TH AVE, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| MORRISON MICHAEL | President | 220 SW 84TH AVE #206, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| MORRISON MICHAEL | Secretary | 220 SW 84TH AVE #206, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| MORRISON MICHAEL | Treasurer | 220 SW 84TH AVE #206, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| MORRISON MICHAEL | Director | 220 SW 84TH AVE #206, PLANTATION, FL, 33324 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000040784 | WEST BROWARD PEDIATRICS | ACTIVE | 2020-04-13 | 2025-12-31 | No data | 220 SW 84TH AVENUE, SUITE 206, PLANTATION, FL, 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2020-05-07 | No data | No data |
| NAME CHANGE AMENDMENT | 2002-08-12 | WEST BROWARD PEDIATRICS, P.A. | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
