| Entity Name: | BROWARD FALL PREVENTION CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Aug 2000 (24 years ago) |
| Document Number: | P00000076692 |
| FEI/EIN Number | 651035071 |
| Mail Address: | 4486 N UNIVERSITY DR, LAUDERHILL, FL, 33351 |
| Address: | 4486 N UNIVERSITY DR., LAUDERHILL, FL, 33351 |
| ZIP code: | 33351 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376596874 | 2006-05-18 | 2022-07-21 | 4486 N UNIVERSITY DR, LAUDERHILL, FL, 333514513, US | 4486 N UNIVERSITY DR, LAUDERHILL, FL, 333514513, US | |||||||||||||||||||
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| Phone | +1 954-572-1000 |
| Fax | 9545729200 |
Authorized person
| Name | MR. KENNETH BERG |
| Role | PRESIDENT |
| Phone | 9545721000 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | K2495 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHTULMAN HOWARD | Agent | 4507 N PINE ISLAND DR, SUNRISE, FL, 33351 |
| Name | Role | Address |
|---|---|---|
| WARREN BARRY M | Vice President | 11260 NW 10TH MANOR, CORAL SPRINGS, FL, 33071 |
| Name | Role | Address |
|---|---|---|
| SHTULMAN HOWARD | President | 5644 NW 66TH AVE, CORAL SPRINGS, FL, 33067 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
