| Entity Name: | J. BRAHMATEWARI, M.D.,P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Jul 1999 (26 years ago) |
| Document Number: | P99000062928 |
| FEI/EIN Number | 650935292 |
| Address: | 6301 BISCAYNE BLVD., SUITE 200, MIAMI, FL, 33138 |
| Mail Address: | PO BOX 226411, MIAMI, FL, 33122-6411 |
| ZIP code: | 33138 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144465824 | 2008-12-09 | 2009-10-28 | PO BOX 226411, MIAMI, FL, 332226411, US | 6301 BISCAYNE BLVD, SUITE 200, MIAMI, FL, 331386284, US | |||||||||||||||||||||
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| Phone | +1 305-751-7771 |
| Fax | 3057560270 |
Authorized person
| Name | MRS. BARBARA RODRIGUEZ |
| Role | OFFICE ADMINISTRATOR |
| Phone | 3057517771 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PTAN |
| Number | E5508Z |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BRAHMATEWARI JUST | Agent | 6301 BISCAYNE BLVD, MIAMI, FL, 33138 |
| Name | Role | Address |
|---|---|---|
| BRAHMATEWARI JUST | Director | 6301 BISCAYNE BLVD, MIAMI, FL, 33138 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000096302 | COSMEDIC CENTRE | ACTIVE | 2023-08-17 | 2028-12-31 | No data | 6301 BISCAYNE BOULEVARD, SUITE 200, MIAMI, FL, 33138 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-06 | 6301 BISCAYNE BLVD, SUITE 200, MIAMI, FL 33138 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-01-06 | 6301 BISCAYNE BLVD., SUITE 200, MIAMI, FL 33138 | No data |
| CHANGE OF MAILING ADDRESS | 2003-03-19 | 6301 BISCAYNE BLVD., SUITE 200, MIAMI, FL 33138 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-06 |
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-01-06 |
| ANNUAL REPORT | 2022-01-04 |
| ANNUAL REPORT | 2021-01-05 |
| ANNUAL REPORT | 2020-01-02 |
| ANNUAL REPORT | 2019-01-07 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-04 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
