| Entity Name: | BROOKE BRANDON, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 08 Jan 2004 (21 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P04000006073 |
| FEI/EIN Number | 200562124 |
| Address: | 1803 NE 146 STREET, WEST MIAMI, FL, 33181 |
| Mail Address: | 1803 NE 146 STREET, WEST MIAMI, FL, 33181 |
| ZIP code: | 33181 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891775391 | 2006-01-19 | 2008-02-25 | 1803 NE 146TH ST, NORTH MIAMI, FL, 331811423, US | 1803 NE 146TH ST, NORTH MIAMI, FL, 331811423, US | |||||||||||||||||||||||||
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| Phone | +1 305-405-6333 |
| Fax | 3054056340 |
Authorized person
| Name | MARK LEVITHAN |
| Role | MANAGING OFFICIAL |
| Phone | 3054056333 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 384 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 026746500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LEVITHAN MARK | Agent | 3201 NE 183 ST., AVENTURA, FL, 33160 |
| Name | Role | Address |
|---|---|---|
| LEVITHAN MARK | President | 3201 NE 183 ST., UNIT 808, AVENTURA, FL, 33160 |
| Name | Role | Address |
|---|---|---|
| LEVITHAN MARK | Secretary | 3201 NE 183 ST., UNIT 808, AVENTURA, FL, 33160 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-04-27 | 1803 NE 146 STREET, WEST MIAMI, FL 33181 | No data |
| CHANGE OF MAILING ADDRESS | 2005-04-27 | 1803 NE 146 STREET, WEST MIAMI, FL 33181 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-03-26 |
| ANNUAL REPORT | 2007-04-25 |
| ANNUAL REPORT | 2006-04-11 |
| ANNUAL REPORT | 2005-04-27 |
| Domestic Profit | 2004-01-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
