| Entity Name: | EVERGREEN MEDICAL CENTER, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 14 Aug 2013 (11 years ago) |
| Document Number: | P13000067955 |
| FEI/EIN Number | 46-3450890 |
| Address: | 400 N Hiatus RD, STE 206, Pembroke Pines, FL 33026 |
| Mail Address: | 5846 S FLAMINGO RD, #280, COOPER CITY, FL 33330 |
| ZIP code: | 33026 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790118180 | 2013-08-20 | 2022-04-29 | 5846 S FLAMINGO RD, #280, COOPER CITY, FL, 333303237, US | 400 N HIATUS RD, SUITE 206, PEMBROKE PINES, FL, 330265214, US | |||||||||||||||
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| Phone | +1 954-380-8550 |
| Fax | 9543808580 |
Authorized person
| Name | DR. MARC H GREENSTEIN |
| Role | PRESIDENT |
| Phone | 9543808550 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, DOUGLAS W | Agent | 9695 W. BROWARD BLVD, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| GREENSTEIN, MARC H | President | 5846 S FLAMINGO RD, #280 COOPER CITY, FL 33330 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2016-01-16 | 400 N Hiatus RD, STE 206, Pembroke Pines, FL 33026 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-02-27 | 400 N Hiatus RD, STE 206, Pembroke Pines, FL 33026 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-07 |
| ANNUAL REPORT | 2023-01-06 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-12 |
| ANNUAL REPORT | 2019-01-06 |
| ANNUAL REPORT | 2018-01-08 |
| ANNUAL REPORT | 2017-01-08 |
| ANNUAL REPORT | 2016-01-16 |
| ANNUAL REPORT | 2015-01-10 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
