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FAMILY PRACTICE OF DAVIE INC.

Company Details

Entity Name: FAMILY PRACTICE OF DAVIE INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 06 Jun 2008 (17 years ago)
Document Number: P08000055506
FEI/EIN Number 262754928
Address: 1150 N. UNIVERSITY DR, PEMBROKE PINES, FL, 33024, US
Mail Address: 1150 N. UNIVERSITY DR, PEMBROKE PINES, FL, 33024, US
ZIP code: 33024
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932345956 2008-12-22 2020-01-21 1150 N UNIVERSITY DR, PEMBROKE PINES, FL, 330245031, US 1150 N UNIVERSITY DR, PEMBROKE PINES, FL, 330245031, US

Contacts

Phone +1 954-616-2020
Fax 9546163030

Authorized person

Name MR. JOSEPH C JAMES
Role PRESIDENT
Phone 9546162020

Taxonomy

Taxonomy Code 207QA0505X - Adult Medicine Physician
License Number ME62781
State FL
Is Primary Yes

Agent

Name Role Address
JAMES JOSEPH Agent 1150 , N UNIVERSITY DR, PEMBROKE PINES, FL, 33024

President

Name Role Address
JAMES JOSEPH President 1150 N. UNIVERSITY DR, PEMBROKE PINES, FL, 33024

Director

Name Role Address
JAMES GEETHU Director 1150 N. UNIVERSITY DR, PEMBROKE PINES, FL, 33024
JAMES DIVYA Director 1150 N UNIVERSITY DR, PEMBROKE PINES, FL, 33024

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000057186 FAMILY MEDICAL CENTER PEMBROKE PINES ACTIVE 2012-06-11 2027-12-31 No data 1150 N. UNIVERSITY DR., PEMBROKE PINES, FL, 33024

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2014-07-20 1150 N. UNIVERSITY DR, PEMBROKE PINES, FL 33024 No data
REGISTERED AGENT NAME CHANGED 2014-07-20 JAMES, JOSEPH No data
REGISTERED AGENT ADDRESS CHANGED 2014-07-20 1150 , N UNIVERSITY DR, PEMBROKE PINES, FL 33024 No data
CHANGE OF MAILING ADDRESS 2014-03-03 1150 N. UNIVERSITY DR, PEMBROKE PINES, FL 33024 No data

Documents

Name Date
ANNUAL REPORT 2024-04-05
ANNUAL REPORT 2023-04-07
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-05-12
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-04-10
ANNUAL REPORT 2017-04-06
ANNUAL REPORT 2016-04-13
ANNUAL REPORT 2015-03-23

Date of last update: 02 Jan 2025

Sources: Florida Department of State