| Entity Name: | SBCRS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Jul 2007 (18 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P07000079777 |
| FEI/EIN Number | 260525288 |
| Address: | 904 NW 9TH AVE., FT. LAUDERDALE, FL, 33311 |
| Mail Address: | 904 NW 9TH AVE., FT. LAUDERDALE, FL, 33311 |
| ZIP code: | 33311 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801089545 | 2007-08-27 | 2008-04-29 | 904 NW 9TH AVE, FORT LAUDERDALE, FL, 333117204, US | 904 NW 9TH AVE, FORT LAUDERDALE, FL, 333117204, US | |||||||||||||||||||||||||
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| Phone | +1 954-607-4237 |
| Fax | 9547797526 |
Authorized person
| Name | FABIO M POTENTI |
| Role | C.E.O. |
| Phone | 9546074237 |
Taxonomy
| Taxonomy Code | 208C00000X - Colon & Rectal Surgery Physician |
| License Number | ME75795 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 271217200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| STYLES MICHAEL J | Agent | 507 SE 11 COURT, FT. LAUDERDALE, FL, 33316 |
| Name | Role | Address |
|---|---|---|
| POTENTI FABIO | Director | 904 NW 9TH AVE, FT. LAUDERDALE, FL, 33311 |
| Name | Role | Address |
|---|---|---|
| POTENTI KRISTIN K | Manager | 904 NW 9TH AVE, FORT LAUDERDALE, FL, 33311 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-02-27 | 904 NW 9TH AVE., FT. LAUDERDALE, FL 33311 | No data |
| CHANGE OF MAILING ADDRESS | 2008-02-27 | 904 NW 9TH AVE., FT. LAUDERDALE, FL 33311 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-04-30 |
| ANNUAL REPORT | 2009-04-17 |
| ANNUAL REPORT | 2008-02-27 |
| Domestic Profit | 2007-07-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
