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PEMBROKE VILLAGE MEDICAL CENTER, INC. - Florida Company Profile

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Company Details

Entity Name: PEMBROKE VILLAGE MEDICAL CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 13 Jan 2009 (17 years ago)
Date of dissolution: 23 Sep 2022 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (3 years ago)
Document Number: P09000003588
FEI/EIN Number 264037880
Mail Address: 1090 JUPITER PARK DR, SUITE 101, JUPITER, FL, 33458, US
Address: 13550 S.W. 10TH STREET, SUITE B, PEMBROKE PINES, FL, 33027, US
ZIP code: 33027
City: Hollywood
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BANSAL RAJENDRA M President 875 N. MILITARY TRAIL, # 200, JUPITER, FL, 33458
BANSAL RAJENDRA M Secretary 875 N. MILITARY TRAIL, # 200, JUPITER, FL, 33458
BANSAL RAJENDRA M Treasurer 875 N. MILITARY TRAIL, # 200, JUPITER, FL, 33458
BANSAL RAJENDRA M Director 875 N. MILITARY TRAIL, # 200, JUPITER, FL, 33458
CAMERLINCK ROBERT D Manager 1090 JUPITER PARK DR, JUPITER, FL, 33458
DANIELS ALYS N Agent 701 US HIGHWAY ONE, NORTH PALM BEACH, FL, 33408

National Provider Identifier

NPI Number:
1235378837

Authorized Person:

Name:
ROBERT D CAMERLINCK
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
302R00000X - Health Maintenance Organization
Is Primary:
Yes

Contacts:

Fax:
5617453866
Fax:
9544356137

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000010413 CENTRAL VILLAGE MEDICAL CENTER EXPIRED 2016-01-28 2021-12-31 - 1090 JUPITER PARK DRIVE, SUITE 101, JUPITER, FL, 33458
G15000069284 CENTRAL VILLAGE MEDICAL CENTER ACTIVE 2015-07-02 2025-12-31 - 1090 JUPITER PARK DR, SUITE 201, JUPITER, FL, 33458
G09079900060 CENTURY VILLAGE MEDICAL CENTER EXPIRED 2009-03-20 2014-12-31 - PEMBROKE VILLAGE MEDICAL CENTER, INC., 250 S. CENTRAL BLVD. #207, JUPITER, FL, 33458

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
CHANGE OF MAILING ADDRESS 2020-06-29 13550 S.W. 10TH STREET, SUITE B, PEMBROKE PINES, FL 33027 -
REGISTERED AGENT NAME CHANGED 2020-06-29 DANIELS, ALYS N -
REGISTERED AGENT ADDRESS CHANGED 2020-06-29 701 US HIGHWAY ONE, SUITE 402, NORTH PALM BEACH, FL 33408 -
CHANGE OF PRINCIPAL ADDRESS 2010-01-11 13550 S.W. 10TH STREET, SUITE B, PEMBROKE PINES, FL 33027 -

Documents

Name Date
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-06-29
ANNUAL REPORT 2019-04-19
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-01-23
ANNUAL REPORT 2016-02-09
ANNUAL REPORT 2015-04-27
ANNUAL REPORT 2014-04-21
ANNUAL REPORT 2013-04-10
ANNUAL REPORT 2012-03-28

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Date of last update: 03 Aug 2025

Sources: Florida Department of State