| Entity Name: | GENESIS MEDICAL CENTER CORAL SPRINGS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Feb 2009 (16 years ago) |
| Document Number: | P09000010358 |
| FEI/EIN Number | 264175702 |
| Address: | 3000 N. UNIVERSITY DRIVE, R, CORAL SPRINGS, FL, 33065 |
| Mail Address: | 3000 N. UNIVERSITY DRIVE, R, CORAL SPRINGS, FL, 33065 |
| ZIP code: | 33065 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942441936 | 2009-03-20 | 2009-07-13 | 3000 N UNIVERSITY DR, CORAL SPRINGS, FL, 330655055, US | 3000 N UNIVERSITY DR, CORAL SPRINGS, FL, 330655055, US | |||||||||||||||||||
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| Phone | +1 954-753-0300 |
| Fax | 9543459340 |
Authorized person
| Name | DR. AJAIB S. MANN |
| Role | PRESIDENT |
| Phone | 9547530300 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME66835 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GREEN MITCHELL F | Agent | 4000 HOLLYWOOD BOULEVARD, CORAL SPRINGS, FL, 33071 |
| Name | Role | Address |
|---|---|---|
| MANN AJAIB | Director | 334 NW 120TH DRIVE, CORAL SPRINGS, FL, 33071 |
| WADHWA MUKESH | Director | 10423 S. BARNSLEY DR, PARKLAND, FL, 33067 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2010-02-16 | 3000 N. UNIVERSITY DRIVE, R, CORAL SPRINGS, FL 33065 | No data |
| CHANGE OF MAILING ADDRESS | 2010-02-16 | 3000 N. UNIVERSITY DRIVE, R, CORAL SPRINGS, FL 33065 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-19 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-02-26 |
| ANNUAL REPORT | 2019-03-20 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-02-14 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
