| Entity Name: | BRIDGE DISABILITY NETWORK, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 21 Apr 2014 (11 years ago) |
| Document Number: | N14000003881 |
| FEI/EIN Number | 46-5476240 |
| Address: | 4700 Sheridan Street, Hollywood, FL, 33021, US |
| Mail Address: | 4700 Sheridan Street, Hollywood, FL, 33021, US |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467863464 | 2014-05-13 | 2014-05-13 | 500 N PARK RD, HOLLYWOOD, FL, 330216905, US | 500 N PARK RD, HOLLYWOOD, FL, 330216905, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 954-894-9023 |
Authorized person
| Name | MARY EBANKS-NUNAIHED |
| Role | VP OF THERAPY SERVICES |
| Phone | 9546994690 |
Taxonomy
| Taxonomy Code | 261QH0700X - Hearing and Speech Clinic/Center |
| License Number | SA10164 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PT27161 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008612500 |
| State | FL |
| Issuer | MEDICAID |
| Number | 002014300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ADAMS ANDREW W | Agent | 11921 NW 23 St, Pembroke Pines, FL, 33026 |
| Name | Role | Address |
|---|---|---|
| LETIZIA PHIL | Chairman | 4700 Sheridan Street, Hollywood, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| ADAMS NANCY P | Chief Executive Officer | 11525 NE 8 Ave, BISCAYNE PARK, FL, 33161 |
| Name | Role | Address |
|---|---|---|
| NUNAIHED MARY E | President | 4700 Sheridan Street, Hollywood, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| CAREY ANGELA L | Chief Financial Officer | 4700 Sheridan Street, Hollywood, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| ALFIERI FRANK | Chief Operating Officer | 4700 Sheridan Street, Hollywood, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| Schubert Melissa | Secretary | 1175 Rosewood Lane, Wellington, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-22 | 4700 Sheridan Street, Suite J, Hollywood, FL 33021 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-22 | 4700 Sheridan Street, Suite J, Hollywood, FL 33021 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-22 | ADAMS, ANDREW W. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-19 | 11921 NW 23 St, Pembroke Pines, FL 33026 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-19 |
| ANNUAL REPORT | 2021-01-21 |
| ANNUAL REPORT | 2020-02-08 |
| ANNUAL REPORT | 2019-01-19 |
| ANNUAL REPORT | 2018-01-25 |
| ANNUAL REPORT | 2017-02-12 |
| ANNUAL REPORT | 2016-04-08 |
| ANNUAL REPORT | 2015-01-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
