| Entity Name: | SUNRISE PHYSICAL MEDICINE & WELLNESS CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Mar 2000 (25 years ago) |
| Document Number: | P00000027350 |
| FEI/EIN Number | 650993745 |
| Address: | 4507 N PINE ISLAND RD, SUNRISE, FL, 33351 |
| Mail Address: | 4507 N PINE ISLAND RD, SUNRISE, FL, 33351 |
| ZIP code: | 33351 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043323298 | 2006-08-15 | 2007-09-12 | 4507 N PINE ISLAND RD, SUNRISE, FL, 333515321, US | 4507 N PINE ISLAND RD, SUNRISE, FL, 333515321, US | |||||||||||||||||||
|
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| Phone | +1 954-741-6233 |
| Fax | 9547420583 |
Authorized person
| Name | DR. HOWARD SHTULMAN |
| Role | PRESIDENT |
| Phone | 9547416233 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH0004066 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHTULMAN HOWARD | Agent | 5644 NW 66TH AVE, CORAL SPRINGS, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| SHTULMAN HOWARD D | President | 5644 NW 66TH AVE, CORAL SPRINGS, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| SHTULMAN HOWARD D | Director | 5644 NW 66TH AVE, CORAL SPRINGS, FL, 33067 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
