| Entity Name: | BROWARD MEDICAL PHYSICIAN ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Nov 2005 (19 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 09 Oct 2012 (12 years ago) |
| Document Number: | P05000147940 |
| FEI/EIN Number | 203739414 |
| Address: | 601 NORTH FLAMINGO ROAD, #306, PEMBROKE PINES, FL, 33028 |
| Mail Address: | 7200 W. Commercial Blvd, Suite 203, Ft. Lauderdale, FL, 33319, US |
| ZIP code: | 33028 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861442956 | 2006-05-11 | 2013-12-10 | 601 N FLAMINGO RD, SUITE 306, PEMBROKE PINES, FL, 330281015, US | 601 N FLAMINGO RD, 306, PEMBROKE PINES, FL, 330281015, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 954-436-1131 |
| Fax | 9544362864 |
Authorized person
| Name | DR. JORGE G DIAZ |
| Role | PRES |
| Phone | 9544361131 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 0061870 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| TOTAL HEALTH MEDICAL CENTERS, LLC | Agent |
| Name | Role |
|---|---|
| TOTAL HEALTH MEDICAL CENTERS, LLC | President |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-02-12 | 601 NORTH FLAMINGO ROAD, #306, PEMBROKE PINES, FL 33028 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-12 | 7200 W. Commercial Blvd, Suite 203, Fort Lauderdale, FL 33319 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-02-12 | Total Health Medical Centers | No data |
| REINSTATEMENT | 2012-10-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REINSTATEMENT | 2011-09-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-08-28 | 601 NORTH FLAMINGO ROAD, #306, PEMBROKE PINES, FL 33028 | No data |
| CANCEL ADM DISS/REV | 2007-11-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-02-12 |
| ANNUAL REPORT | 2020-04-09 |
| AMENDED ANNUAL REPORT | 2019-08-27 |
| AMENDED ANNUAL REPORT | 2019-07-15 |
| AMENDED ANNUAL REPORT | 2019-07-13 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-03-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
