| Entity Name: | BROWARD MEDICAL & REHAB INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Sep 2009 (15 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 01 Mar 2013 (12 years ago) |
| Document Number: | P09000075735 |
| FEI/EIN Number | 270914901 |
| Address: | 2607 POLK ST, HOLLYWOOD, FL, 33020, US |
| Mail Address: | 2607 POLK ST, HOLLYWOOD, FL, 33020, US |
| ZIP code: | 33020 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376872481 | 2009-12-18 | 2013-06-10 | 750 S. FEDERAL HIGHWAY, HOLLYWOOD, FL, 33020, US | 750 S. FEDERAL HIGHWAY, HOLLYWOOD, FL, 33020, US | |||||||||||||||||||||||||||
|
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| Phone | +1 954-925-7333 |
| Fax | 9549257339 |
Authorized person
| Name | DR. BRUCE MARK |
| Role | PRESIDENT |
| Phone | 9549257333 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 7442 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| License Number | OS0007659 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MARK BRUCE | Agent | 2607 POLK ST, HOLLYWOOD, FL, 33020 |
| Name | Role | Address |
|---|---|---|
| MARK BRUCE | President | 921 NW 122ND AVE, PLANTATION, FL, 33325 |
| Name | Role | Address |
|---|---|---|
| SIMON-MARK ROBIN | Vice President | 921 NW 122 AVE, PLANTATION, FL, 33325 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-04 | 2607 POLK ST, HOLLYWOOD, FL 33020 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-04 | 2607 POLK ST, HOLLYWOOD, FL 33020 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-04 | 2607 POLK ST, HOLLYWOOD, FL 33020 | No data |
| AMENDMENT AND NAME CHANGE | 2013-03-01 | BROWARD MEDICAL & REHAB INC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-19 |
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-03-18 |
| ANNUAL REPORT | 2022-02-13 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-02-02 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-03-04 |
| ANNUAL REPORT | 2017-01-22 |
| ANNUAL REPORT | 2016-03-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
