| Entity Name: | PHYSICIAN ASSOCIATES OF BROWARD, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PHYSICIAN ASSOCIATES OF BROWARD, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 14 Oct 2004 (21 years ago) |
| Date of dissolution: | 27 Sep 2019 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (6 years ago) |
| Document Number: | P04000142046 |
| FEI/EIN Number |
050613565
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 5846 S Flamingo Road, Cooper City, FL, 33330, US |
| Address: | 11993 SW 47TH STREET, COOPER CITY, FL, 33330, US |
| ZIP code: | 33330 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366723777 | 2011-08-30 | 2016-09-09 | 9900 STIRLING RD, SUITE 102, HOLLYWOOD, FL, 330248065, US | 9900 STIRLING RD, SUITE 102, HOLLYWOOD, FL, 330248065, US | |||||||||||||||||||
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| Phone | +1 954-322-3603 |
| Fax | 9543225303 |
Authorized person
| Name | DR. SALVADOR ENRIQUE MORA |
| Role | MEDICAL DIRECTOR |
| Phone | 9543223603 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 42635 |
| Name | Role | Address |
|---|---|---|
| PANAGOS & ASSOCIATES CPAS, LLC | Agent | - |
| MORA SALVADOR E | President | 11993 SW 47TH STREET, COOPER CITY, FL, 33330 |
| MORA SALVADOR E | Secretary | 11993 SW 47TH STREET, COOPER CITY, FL, 33330 |
| MORA SALVADOR E | Vice President | 11993 SW 47TH STREET, COOPER CITY, FL, 33330 |
| MORA SALVADOR E | Treasurer | 11993 SW 47TH STREET, COOPER CITY, FL, 33330 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| CHANGE OF MAILING ADDRESS | 2018-03-13 | 11993 SW 47TH STREET, COOPER CITY, FL 33330 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-13 | 11993 SW 47TH STREET, COOPER CITY, FL 33330 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-02-17 | 2893 Executive Park Drive, Suite 102, WESTON, FL 33331 | - |
| REGISTERED AGENT NAME CHANGED | 2014-02-17 | Panagos & Associates CPAS | - |
| AMENDMENT | 2014-01-27 | - | - |
| AMENDMENT | 2013-10-21 | - | - |
| AMENDMENT | 2005-01-12 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-01-20 |
| ANNUAL REPORT | 2016-03-16 |
| ANNUAL REPORT | 2015-04-13 |
| ANNUAL REPORT | 2014-02-17 |
| Amendment | 2014-01-27 |
| Amendment | 2013-10-21 |
| ANNUAL REPORT | 2013-03-18 |
| ANNUAL REPORT | 2012-04-09 |
| ANNUAL REPORT | 2011-04-20 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
