| Entity Name: | ACTIVE COMMUNITY HEALTH CENTER OF BROWARD, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 23 Jun 2015 (10 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 16 Nov 2018 (6 years ago) |
| Document Number: | N15000006260 |
| FEI/EIN Number | 47-4386507 |
| Address: | 1060 SUNSET STRIP, SUNRISE, FL, 33313-6106, US |
| Mail Address: | 19321 SW 14th Street, Pembroke Pines, FL, 33029, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407460298 | 2020-08-31 | 2020-08-31 | 19321 SW 14TH ST, PEMBROKE PINES, FL, 330296124, US | 1060 SUNSET STRIP, SUNRISE, FL, 333136106, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 954-394-3095 |
| Phone | +1 954-333-8787 |
| Fax | 9543338621 |
Authorized person
| Name | PABLO URIARTE |
| Role | CEO |
| Phone | 9543943095 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| URIARTE PABLO | Agent | 19321 SW 14th Street, Pembroke Pines, FL, 33029 |
| Name | Role | Address |
|---|---|---|
| Dowd David | Boar | 1060 SUNSET STRIP, SUNRISE, FL, 333136106 |
| Name | Role | Address |
|---|---|---|
| Thornton Wayne | Secretary | 1060 Sunset Strip, Sunrise, FL, 33313 |
| Name | Role | Address |
|---|---|---|
| Uriarte Pablo | Chief Executive Officer | 19321 SW 14th Street, PEMBROKE PINES, FL, 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-17 | 19321 SW 14th Street, Pembroke Pines, FL 33029-6124 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-15 | 1060 SUNSET STRIP, SUNRISE, FL 33313-6106 | No data |
| AMENDMENT | 2018-11-16 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-13 | 1060 SUNSET STRIP, SUNRISE, FL 33313-6106 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-13 | 19321 SW 14th Street, Pembroke Pines, FL 33029 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-17 |
| ANNUAL REPORT | 2024-03-22 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-02-12 |
| ANNUAL REPORT | 2021-03-04 |
| AMENDED ANNUAL REPORT | 2020-09-17 |
| ANNUAL REPORT | 2020-02-28 |
| ANNUAL REPORT | 2019-04-15 |
| Amendment | 2018-11-16 |
| ANNUAL REPORT | 2018-03-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
