| Entity Name: | PEMBROKE PINES PHYSICIANS ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 09 Feb 1998 (27 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 27 Sep 1999 (25 years ago) |
| Document Number: | P98000012509 |
| FEI/EIN Number | 65-0812890 |
| Address: | 2240 SW 70TH AVENUE,, SUITE: D, DAVIE, FL 33317 |
| Mail Address: | 2240 SW 70TH AVENUE,, SUITE: D, DAVIE, FL 33317 |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760546295 | 2006-12-20 | 2024-05-20 | 2240 SW 70TH AVE STE D, DAVIE, FL, 333177112, US | 2240 SW 70TH AVE STE D, DAVIE, FL, 333177112, US | |||||||||||||||
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| Phone | +1 954-430-8000 |
| Fax | 9542120150 |
Authorized person
| Name | ROBERT M KUSTIN |
| Role | PRESIDENT |
| Phone | 9544308000 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KUSTIN, ROBERT | Agent | 2240 sw 70th ave, davie, FL 33317 |
| Name | Role | Address |
|---|---|---|
| KUSTIN, ROBERT M | President | 2240 sw 70th ave, davie, FL 33317 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000058541 | PHYSICAL THERAPY NOW OF DAVIE | ACTIVE | 2024-05-02 | 2029-12-31 | No data | 2240 SOUTHWEST 70TH AVENUE, DAVIE, FL, 33317 |
| G24000058198 | PT NOW DAVIE | ACTIVE | 2024-05-01 | 2029-12-31 | No data | 2240 SOUTHWEST 70TH AVENUE, DAVIE, FL, 33317 |
| G16000124630 | PINES SPINE & JOINT | ACTIVE | 2016-11-17 | 2026-12-31 | No data | 2240 SW 70TH AVE, STE D, DAVIE, FL, 33317 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-05 | 2240 sw 70th ave, davie, FL 33317 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-09-24 | 2240 SW 70TH AVENUE,, SUITE: D, DAVIE, FL 33317 | No data |
| CHANGE OF MAILING ADDRESS | 2018-09-24 | 2240 SW 70TH AVENUE,, SUITE: D, DAVIE, FL 33317 | No data |
| REGISTERED AGENT NAME CHANGED | 2002-08-21 | KUSTIN, ROBERT | No data |
| AMENDMENT | 1999-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-03-11 |
| ANNUAL REPORT | 2015-03-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
