| Entity Name: | EAR NOSE THROAT AND SINUS CENTER OF SOUTH FLORIDA INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 02 Apr 2021 (4 years ago) |
| Document Number: | P21000030537 |
| FEI/EIN Number | 86-3118420 |
| Address: | 20 SE 11th Ave, FT LAUDERDAEL, FL 33301 |
| Mail Address: | 20 SE 11th Ave, FT LAUDERDAEL, FL 33301 |
| ZIP code: | 33301 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508692260 | 2024-09-10 | 2024-09-10 | 20 SE 11TH AVE, FT LAUDERDALE, FL, 333012058, US | 3039 JOHNSON ST, HOLLYWOOD, FL, 330215536, US | |||||||||||||||
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| Phone | +1 954-270-3033 |
| Fax | 9546782592 |
Authorized person
| Name | CRAIG STEVEN SHAPIRO |
| Role | MEDICAL DIRECTOR |
| Phone | 9542703033 |
Taxonomy
| Taxonomy Code | 207Y00000X - Otolaryngology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHAPIRO, CRAIG S | Agent | 20 SE 11th Ave, FT LAUDERDAEL, FL 33301 |
| Name | Role | Address |
|---|---|---|
| SHAPIRO, CRAIG S | President | 20 SE 11th Ave, FT LAUDERDAEL, FL 33301 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-17 | 20 SE 11th Ave, FT LAUDERDAEL, FL 33301 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-17 | 20 SE 11th Ave, FT LAUDERDAEL, FL 33301 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-17 | 20 SE 11th Ave, FT LAUDERDAEL, FL 33301 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-04-07 |
| Domestic Profit | 2021-04-02 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
