| Entity Name: | THE BROWARD HEART GROUP, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Oct 2000 (24 years ago) |
| Date of dissolution: | 17 Jul 2012 (13 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 17 Jul 2012 (13 years ago) |
| Document Number: | P00000098009 |
| FEI/EIN Number | 651051183 |
| Address: | 9800 SAMPLE RD, UNIT C, CORAL SPRINGS, FL, 33065 |
| Mail Address: | 9800 WEST SAMPLE ROAD, SUITE A, CORAL SPRINGS, FL, 33065 |
| ZIP code: | 33065 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558393041 | 2006-07-07 | 2008-09-16 | 9800 W SAMPLE RD, SUITE C, CORAL SPRINGS, FL, 33065, US | 7421 N UNIVERSITY DR, SUITE 101, TAMARAC, FL, 333212977, US | |||||||||||||||||||||||||||||||
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| Phone | +1 954-344-8598 |
| Fax | 9543448142 |
| Phone | +1 954-721-6666 |
| Fax | 9547267862 |
Authorized person
| Name | AMY BOLTON |
| Role | OFFICE MANAGER |
| Phone | 9543448700 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OF FL GROUP |
| Number | 45590B |
| State | FL |
| Issuer | MEDICAID |
| Number | 260971102 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LAURENCE JODI E | Agent | 3501 S. UNIVERSITY DR., DAVIE, FL, 33328 |
| Name | Role | Address |
|---|---|---|
| BERMAN JULIAN L | President | 9800 W. SAMPLE ROAD #A, CORAL SPRINGS, FL, 33065 |
| Name | Role | Address |
|---|---|---|
| GARFIELD GARY J | Secretary | 9800 W. SAMPLE ROAD #A, CORAL SPRINGS, FL, 33065 |
| Name | Role | Address |
|---|---|---|
| SOLER JOSE R | Vice President | 9800 W. SAMPLE ROAD #A, CORAL SPRINGS, FL, 33065 |
| SABATES EDUARDO C | Vice President | 9800 W. SAMPLE ROAD #A, CORAL SPRINGS, FL, 33065 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2012-07-17 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2008-11-21 | 9800 SAMPLE RD, UNIT C, CORAL SPRINGS, FL 33065 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-11-21 | 3501 S. UNIVERSITY DR., SUITE 10, DAVIE, FL 33328 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-01-07 | LAURENCE, JODI ESQ | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-01-10 | 9800 SAMPLE RD, UNIT C, CORAL SPRINGS, FL 33065 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2012-07-17 |
| ANNUAL REPORT | 2011-01-17 |
| ANNUAL REPORT | 2010-07-01 |
| ANNUAL REPORT | 2009-04-21 |
| ANNUAL REPORT | 2008-11-21 |
| ANNUAL REPORT | 2008-01-23 |
| Reg. Agent Change | 2008-01-07 |
| ANNUAL REPORT | 2007-01-24 |
| ANNUAL REPORT | 2006-01-10 |
| ANNUAL REPORT | 2005-01-10 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
