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PREMIER FAMILY AND PALLIATIVE MEDICAL CENTER, INC. - Florida Company Profile

Company Details

Entity Name: PREMIER FAMILY AND PALLIATIVE MEDICAL CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PREMIER FAMILY AND PALLIATIVE MEDICAL CENTER, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 01 Jul 2010 (15 years ago)
Date of dissolution: 27 Sep 2013 (12 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2013 (12 years ago)
Document Number: P10000055064
FEI/EIN Number 272966891

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1 W. SAMPLE RD., #104, POMPANO BEACH, FL, 33064, US
Mail Address: 3410 NW 110 TERRACE, CORAL SPRINGS, FL, 33065, US
ZIP code: 33064
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679889968 2010-08-24 2011-01-06 1 W SAMPLE RD, SUITE 104, POMPANO BEACH, FL, 330643547, US 1 W SAMPLE RD # 3104, POMPANO BEACH, FL, 330643547, US

Contacts

Phone +1 954-782-2802
Fax 9547822881

Authorized person

Name LAURA BURKE
Role MCC
Phone 9547822802

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number OS10256
State FL
Is Primary Yes
Taxonomy Code 207QH0002X - Hospice and Palliative Medicine (Family Medicine) Physician
License Number OS10256
State FL
Is Primary No
Taxonomy Code 208VP0000X - Pain Medicine Physician
License Number OS10256
State FL
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 001156200
State FL

Key Officers & Management

Name Role Address
NEWMAN SHERIKA President 4174 INVERRARY DR. #512, LAUDERHILL, FL, 33319
NEWMAN SHERIKA Vice President 4174 INVERRARY DR. #512, LAUDERHILL, FL, 33319
LIBBY DENISE Agent 3410 NW 110 TERRACE, CORAL SPRINGS, FL, 33065

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 - -
CHANGE OF PRINCIPAL ADDRESS 2012-01-06 1 W. SAMPLE RD., #104, POMPANO BEACH, FL 33064 -
CHANGE OF MAILING ADDRESS 2012-01-06 1 W. SAMPLE RD., #104, POMPANO BEACH, FL 33064 -
NAME CHANGE AMENDMENT 2010-07-12 PREMIER FAMILY AND PALLIATIVE MEDICAL CENTER, INC. -

Documents

Name Date
ANNUAL REPORT 2012-01-06
ANNUAL REPORT 2011-01-06
Name Change 2010-07-12
Domestic Profit 2010-07-01

Date of last update: 02 May 2025

Sources: Florida Department of State