| Entity Name: | LISE D. BROWN, DO, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 26 Nov 2014 (10 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P14000095937 |
| FEI/EIN Number | N/A |
| Address: | 4310 NE 23RD TERRACE, LIGHTHOUSE POINT, FL 33064 |
| Mail Address: | 4310 NE 23RD TERRACE, LIGHTHOUSE POINT, FL 33064 |
| ZIP code: | 33064 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750589537 | 2007-07-03 | 2014-12-22 | 3101 N FEDERAL HWY, SUITE 201, FORT LAUDERDALE, FL, 333061018, US | 3101 N FEDERAL HWY, SUITE 201, FORT LAUDERDALE, FL, 333061018, US | |||||||||||||||||
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| Phone | +1 954-318-3386 |
Authorized person
| Name | DR. LISE D BROWN |
| Role | PHYSICIAN |
| Phone | 9543183386 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | OS9720 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BARRY S. SCHINDER, PA | Agent | 4000 HOLLYWOOD BOULEVARD, 725-S, HOLLYWOOD, FL 33021 |
| Name | Role | Address |
|---|---|---|
| BROWN, LISE | President | 4310 NE 23RD TERRACE, LIGHTHOUSE POINT, FL 33064 |
| Name | Role | Address |
|---|---|---|
| BROWN, LISE | Director | 4310 NE 23RD TERRACE, LIGHTHOUSE POINT, FL 33064 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-30 |
| Domestic Profit | 2014-11-26 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
