| Entity Name: | BROWARD FAMILY DENTAL CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 14 Jul 2008 (17 years ago) |
| Document Number: | P08000066716 |
| FEI/EIN Number | 84-1943712 |
| Address: | 6260 W OAKLAND PARK BLVD, SUNRISE, FL 33313 |
| Mail Address: | 6260 W OAKLAND PARK BLVD, SUNRISE, FL 33313 |
| ZIP code: | 33313 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639554108 | 2015-07-27 | 2015-07-27 | 6260 W OAKLAND PARK BLVD, SUNRISE, FL, 333131214, US | 6260 W OAKLAND PARK BLVD, SUNRISE, FL, 333131214, US | |||||||||||||||||||||||||
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| Phone | +1 954-742-7995 |
| Fax | 9547422857 |
Authorized person
| Name | DR. SAYED M FADAVI |
| Role | PRESIDENT |
| Phone | 9547427995 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN14848 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 014279900 |
| State | FL |
| Name | Role |
|---|---|
| MORE MONEY 4 U TAX SERVICES INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Lacroze, Dorotie, Dr. | President | 5094 Coconut Creek PKWY, 934581 Margate, FL 33063 |
| Name | Role | Address |
|---|---|---|
| Lacroze, Dorotie, Dr. | Chief Executive Officer | 5094 Coconut Creek PKWY, 934581 Margate, FL 33063 |
| Name | Role | Address |
|---|---|---|
| Lacroze, Dorotie, Dr. | Corresponding Secretary | 5094 Coconut Creek PKWY, 934581 Margate, FL 33063 |
| Castile, Steele | Corresponding Secretary | 5094 Coconut Creek PKWY, 934581 Margate, FL 33063 |
| Name | Role | Address |
|---|---|---|
| Castile, Steele | Vice President | 5094 Coconut Creek PKWY, 934581 Margate, FL 33063 |
| Name | Role | Address |
|---|---|---|
| Castile, Steele | Chief Operating Officer | 5094 Coconut Creek PKWY, 934581 Margate, FL 33063 |
| Name | Role | Address |
|---|---|---|
| Castile, Steele | Executive Secretary | 5094 Coconut Creek PKWY, 934581 Margate, FL 33063 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 5094 Coconut Creek PKWY, 934581, Margate, FL 33063 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-26 | MORE MONEY 4 U TAX SERVICES INC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-01-29 | 6260 W OAKLAND PARK BLVD, SUNRISE, FL 33313 | No data |
| CHANGE OF MAILING ADDRESS | 2010-01-29 | 6260 W OAKLAND PARK BLVD, SUNRISE, FL 33313 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-01-25 |
| ANNUAL REPORT | 2018-01-26 |
| ANNUAL REPORT | 2017-01-25 |
| ANNUAL REPORT | 2016-01-28 |
| ANNUAL REPORT | 2015-01-30 |
Date of last update: 24 Feb 2025
Sources: Florida Department of State
