Entity Name: | NORTHWEST HOSPITAL EKG READERS, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 27 Jan 2000 (25 years ago) |
Document Number: | P00000009339 |
FEI/EIN Number | 650977368 |
Address: | 2801 NORTH STATE ROAD 7, EKG READERS PANEL, MARGATE, FL, 33063, US |
Mail Address: | PO Box 919617, Orlando, FL, 32891-9617, US |
ZIP code: | 33063 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1518975150 | 2006-08-03 | 2019-01-29 | PO BOX 919617, ORLANDO, FL, 328919617, US | 2801 N STATE ROAD 7, - EKG READERS PANEL, MARGATE, FL, 330635727, US | |||||||||||||||||||||||||
|
Phone | +1 954-726-1808 |
Fax | 9547261820 |
Authorized person
Name | DR. NEIL SCHULTZ |
Role | PRESIDENT |
Phone | 9549734555 |
Taxonomy
Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 258864100 |
State | FL |
Issuer | BLUE CROSS/BLUE SHIELD |
Number | 45254 |
Name | Role | Address |
---|---|---|
Schultz Neil AMD | Agent | 2825 N State Road 7, Margate, FL, 33063 |
Name | Role | Address |
---|---|---|
SCHULTZ NEIL AMD | President | 2825 N STATE ROAD 7 SUITE 200, MARGATE, FL, 33063 |
Name | Role | Address |
---|---|---|
SCHULTZ NEIL AMD | Director | 2825 N STATE ROAD 7 SUITE 200, MARGATE, FL, 33063 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2024-04-29 | Schultz, Neil A, MD | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-04-29 | 2825 N State Road 7, Suite 200, Margate, FL 33063 | No data |
CHANGE OF MAILING ADDRESS | 2019-03-22 | 2801 NORTH STATE ROAD 7, EKG READERS PANEL, MARGATE, FL 33063 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2010-04-14 | 2801 NORTH STATE ROAD 7, EKG READERS PANEL, MARGATE, FL 33063 | No data |
Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
---|---|---|---|---|---|---|---|
J10000427051 | TERMINATED | 1000000132854 | DADE | 2009-07-30 | 2030-03-24 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SOUTH SERVICE CENTER, 8175 NW 12TH ST STE 418, MIAMI FL331261828 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-29 |
ANNUAL REPORT | 2023-04-10 |
ANNUAL REPORT | 2022-04-18 |
ANNUAL REPORT | 2021-04-06 |
ANNUAL REPORT | 2020-05-01 |
ANNUAL REPORT | 2019-03-22 |
ANNUAL REPORT | 2018-03-06 |
ANNUAL REPORT | 2017-04-19 |
ANNUAL REPORT | 2016-03-21 |
ANNUAL REPORT | 2015-04-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State