| Entity Name: | BROWARD SURGICAL SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Feb 2015 (10 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P15000013670 |
| FEI/EIN Number | 47-3092193 |
| Address: | 408 NE 6TH ST, FORT LAUDERDALE, FL, 33304, US |
| Mail Address: | 408 NE 6TH ST, FORT LAUDERDALE, FL, 33304, US |
| ZIP code: | 33304 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245627405 | 2015-04-24 | 2015-04-24 | 16900 N BAY RD, SUITE 1401, SUNNY ISLES BEACH, FL, 331604252, US | 16900 N BAY RD, SUITE 1401, SUNNY ISLES BEACH, FL, 331604252, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 954-416-1781 |
| Fax | 9544161782 |
Authorized person
| Name | RONALDO VALENCIA |
| Role | PD |
| Phone | 9544161781 |
Taxonomy
| Taxonomy Code | 163WR0006X - Registered Nurse First Assistant |
| License Number | RN9216868 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | RN9216868 |
| State | FL |
| Name | Role |
|---|---|
| JACOBO & ASSOCIATES INC. | Agent |
| Name | Role | Address |
|---|---|---|
| VALENCIA RONALDO | President | 20904 LEEWARD CT, AVENTURA, FL, 33180 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REINSTATEMENT | 2017-10-09 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-10-09 | 408 NE 6TH ST, 525, FORT LAUDERDALE, FL 33304 | No data |
| CHANGE OF MAILING ADDRESS | 2017-10-09 | 408 NE 6TH ST, 525, FORT LAUDERDALE, FL 33304 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-10-09 | JACOBO & ASSOCIATES INC | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2017-10-09 |
| ANNUAL REPORT | 2016-08-05 |
| Domestic Profit | 2015-02-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
