| Entity Name: | BARR MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Sep 2000 (24 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P00000092363 |
| FEI/EIN Number | 651058857 |
| Address: | 2350 WEST OAKLAND PARK BLVD STE 900, FT LAUDERDALE, FL, 33311 |
| Mail Address: | 2350 WEST OAKLAND PARK BLVD STE 900, FT LAUDERDALE, FL, 33311 |
| ZIP code: | 33311 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083877435 | 2008-07-07 | 2013-08-22 | 2350 W. OAKLAND PARK BOULEVARD, SUITE 900, FORT LAUDERDALE, FL, 33311, US | 2350 W. OAKLAND PARK BOULEVARD, SUITE 900, FORT LAUDERDALE, FL, 33311, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 954-731-8080 |
| Fax | 9547318670 |
Authorized person
| Name | MR. ALEXANDER D WARGO |
| Role | VP/TREASURER |
| Phone | 9547318080 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS3754 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS |
| Number | 81958 |
| State | FL |
| Issuer | MEDICAID |
| Number | 374823500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WARGO ALEX DDR | Agent | 2350 WEST OAKLAND PARK BLVD STE 900, OAKLAND PARK, FL, 333111409 |
| Name | Role | Address |
|---|---|---|
| WARGO ALEX DD.O. | President | 862 N.W. 67TH AVENUE, PLANTATION, FL, 333171238 |
| Name | Role | Address |
|---|---|---|
| WARGO ALEX DD.O. | Treasurer | 862 N.W. 67TH AVENUE, PLANTATION, FL, 333171238 |
| Name | Role | Address |
|---|---|---|
| WARGO ALEXANDER DP.M. | Director | 862 N.W. 67TH AVENUE, PLANTATION, FL, 333171238 |
| Name | Role | Address |
|---|---|---|
| RIVERA APRIL | Secretary | 1720 NE 62ND ST, FORT LAUDERDALE, FL, 33334 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-07-17 | 2350 WEST OAKLAND PARK BLVD STE 900, OAKLAND PARK, FL 33311-1409 | No data |
| AMENDMENT | 2015-07-17 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-07-17 | WARGO, ALEX D, DR | No data |
| AMENDMENT | 2013-05-29 | No data | No data |
| REINSTATEMENT | 2012-06-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| REINSTATEMENT | 2010-09-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-04-29 | 2350 WEST OAKLAND PARK BLVD STE 900, FT LAUDERDALE, FL 33311 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J16000024624 | LAPSED | COWE-15-017570 | BROWARD COUNTY COURT | 2015-12-29 | 2021-01-13 | $14,612.50 | CARECLOUD CORPORATION, A DELAWARE CORPORATION, C/O SPRECHMAN & FISHER, P.A., 2775 SUNNY ISLES BLVD 100, NORTH MIAMI BEACH, FL 33160 |
| Name | Date |
|---|---|
| Amendment | 2015-07-17 |
| ANNUAL REPORT | 2015-04-22 |
| ANNUAL REPORT | 2014-03-20 |
| Amendment | 2013-05-29 |
| ANNUAL REPORT | 2013-01-29 |
| REINSTATEMENT | 2012-06-13 |
| Reinstatement | 2010-09-30 |
| ANNUAL REPORT | 2008-04-29 |
| ANNUAL REPORT | 2007-01-25 |
| ANNUAL REPORT | 2006-01-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
