| Entity Name: | NORTH BROWARD NEUROLOGY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Sep 2005 (19 years ago) |
| Document Number: | P05000130401 |
| FEI/EIN Number | 320160845 |
| Address: | 1725 UNIVERSITY DRIVE, 425, CORAL SPRINGS, FL, 33071 |
| Mail Address: | 1725 UNIVERSITY DRIVE, 425, CORAL SPRINGS, FL, 33071, US |
| ZIP code: | 33071 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780732529 | 2007-01-08 | 2009-09-16 | 49 N FEDERAL HWY, SUITE 348, POMPANO BEACH, FL, 330624304, US | 1725 N UNIVERSITY DR, SUITE #425, CORAL SPRINGS, FL, 330716089, US | |||||||||||||||||||||||||
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| Phone | +1 954-539-2030 |
| Fax | 9545392035 |
Authorized person
| Name | DR. BRAD M DAJANI |
| Role | NEUROLOGIST |
| Phone | 9545392030 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME76337 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 271697600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AR ACCOUNTING & TAX SERVICES | Agent | 5497 WILES RD, Coconut Creek, FL, 33073 |
| Name | Role | Address |
|---|---|---|
| DAJANI BRAD M | Director | 2880 NE 14 St Cswy, POMPANO BEACH, FL, 33062 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-03-31 | 1725 UNIVERSITY DRIVE, 425, CORAL SPRINGS, FL 33071 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-21 | 5497 WILES RD, Suite 202, Coconut Creek, FL 33073 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-06 | 1725 UNIVERSITY DRIVE, 425, CORAL SPRINGS, FL 33071 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-01-14 | AR ACCOUNTING & TAX SERVICES | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-03-31 |
| ANNUAL REPORT | 2019-03-28 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
