| Entity Name: | NORTH BROWARD NEUROSPINAL SURGERY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Jul 2015 (10 years ago) |
| Document Number: | P15000059229 |
| FEI/EIN Number | 47-4815568 |
| Address: | 1 West Sample Road, Suite 209, Pompano Beach, FL, 33064, US |
| Mail Address: | 3031 NE 55TH LANE, FT. LAUDERDALE, FL, 33308, US |
| ZIP code: | 33064 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760047831 | 2019-05-04 | 2019-08-06 | 1 W SAMPLE RD STE 209, POMPANO BEACH, FL, 330643547, US | 1 W SAMPLE RD STE 209, POMPANO BEACH, FL, 330643547, US | |||||||||||||
|
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| Phone | +1 954-695-6044 |
Authorized person
| Name | RICHARD FOLTZ |
| Role | OWNER |
| Phone | 9546956044 |
Taxonomy
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Foltz Richard M | Agent | 1 W. Sample Road, Pompano Beach, FL, 33064 |
| Name | Role | Address |
|---|---|---|
| FOLTZ RICHARD MDR. | President | 3031 NE 55TH LANE, FT. LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-09 | Foltz, Richard M | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-09 | 1 W. Sample Road, Suite 209, Pompano Beach, FL 33064 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-21 | 1 West Sample Road, Suite 209, Pompano Beach, FL 33064 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-02-21 |
| ANNUAL REPORT | 2021-02-21 |
| ANNUAL REPORT | 2020-07-10 |
| ANNUAL REPORT | 2019-04-21 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-04-29 |
| Domestic Profit | 2015-07-10 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
