| Entity Name: | BRANCH ENTERPRISES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Aug 1997 (27 years ago) |
| Document Number: | P97000072813 |
| FEI/EIN Number | 650776398 |
| Address: | 19148 SW 80th CT, MIAMI, FL, 33157, US |
| Mail Address: | 19148 SW 80th CT, MIAMI, FL, 33157, US |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538104740 | 2006-06-19 | 2008-02-28 | 17490 SW 104TH AVE, STE B, MIAMI, FL, 331574200, US | 17490 SW 104TH AVE, STE B, MIAMI, FL, 331574200, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 305-969-3353 |
| Fax | 3059693115 |
Authorized person
| Name | EVANS BRANCH III |
| Role | PRESIDENT |
| Phone | 3059693353 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH18244 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0253316000 |
| State | FL |
| Issuer | OTHER ID NUMBER-COMMERCIAL NUMBER |
| Number | 1094692 |
| Name | Role |
|---|---|
| STEVEN J. HENRIQUEZ CPA, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| BRANCH EVANS I | President | 19148 SW 80th CT, MIAMI, FL, 33157 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000061974 | ACE TRANSPORTATION | ACTIVE | 2021-05-05 | 2026-12-31 | No data | 19148 SW 80 COURT, CUTLER BAY, FL, 33157 |
| G21000061986 | DOC'S CONSTRUCTION | ACTIVE | 2021-05-05 | 2026-12-31 | No data | 19148 SW 80 COURT, CUTLER BAY, FL, 33157 |
| G13000114074 | EB3 | EXPIRED | 2013-11-20 | 2018-12-31 | No data | 19148 SW 80 COURT, MIAMI, FL, 33157 |
| G09107900275 | CENTER FOR ORTHOPAEDICS & REHABILITATION EXCELLENCE OF MIAMI | EXPIRED | 2009-04-15 | 2014-12-31 | No data | 247 SW. 8TH ST., MIAMI, FL, 33130 |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000107741 | LAPSED | 2011-16717-CA-01 | CIR CT 11TH JUD MIAMI-DADE FL | 2012-01-23 | 2017-02-16 | $129,072.89 | CARDINAL HEALTH 110, INC., 2045 INTERSTATE DRIVE, LAKELAND, FL 33805 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
