| Entity Name: | THE CENTER FOR FACIAL RESTORATION INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Oct 2006 (18 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 21 May 2010 (15 years ago) |
| Document Number: | P06000127147 |
| FEI/EIN Number | 205666043 |
| Address: | 18501 Pines Blvd, SUITE 210 (annex), Pembroke Pines, FL, 33029, US |
| Mail Address: | 2504 Eagle Run Drive, Weston, FL, 33327, US |
| ZIP code: | 33029 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861877979 | 2015-07-30 | 2015-07-30 | 1951 SW 172ND AVENUE, SUITE 205, MIRAMAR, FL, 330295613, US | 1951 SW 172ND AVENUE, SUITE 205, MIRAMAR, FL, 330295613, US | |||||||||||||||||||||||||
|
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| Phone | +1 954-442-5191 |
| Fax | 7862282853 |
Authorized person
| Name | DR. RICHARD E DAVIS |
| Role | PRESIDENT |
| Phone | 9544425191 |
Taxonomy
| Taxonomy Code | 207YX0905X - Otolaryngology/Facial Plastic Surgery Physician |
| License Number | ME64358 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1346275443 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DAVIS RICHARD E | Agent | 2504 Eagle Run Drive, Weston, FL, 33327 |
| Name | Role | Address |
|---|---|---|
| Davis Richard E | President | 2504 Eagle Run Drive, Weston, FL, 33327 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-07-23 | 18501 Pines Blvd, SUITE 210 (annex), Pembroke Pines, FL 33029 | No data |
| CHANGE OF MAILING ADDRESS | 2020-07-23 | 18501 Pines Blvd, SUITE 210 (annex), Pembroke Pines, FL 33029 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-07-23 | 2504 Eagle Run Drive, Weston, FL 33327 | No data |
| CANCEL ADM DISS/REV | 2010-05-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-03-06 |
| ANNUAL REPORT | 2021-03-24 |
| ANNUAL REPORT | 2020-07-23 |
| ANNUAL REPORT | 2019-01-28 |
| ANNUAL REPORT | 2018-02-26 |
| ANNUAL REPORT | 2017-01-27 |
| ANNUAL REPORT | 2016-01-21 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
