| Entity Name: | BROWARD PLASTIC SURGERY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Jul 1999 (26 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 17 Sep 1999 (25 years ago) |
| Document Number: | P99000068808 |
| FEI/EIN Number | 650939543 |
| Address: | 2818 E. Oakland Park Blvd., FT. LAUDERDALE, FL, 33306, US |
| Mail Address: | 2624 NE 27th Court, FT. LAUDERDALE, FL, 33306, US |
| ZIP code: | 33306 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033487509 | 2011-12-12 | 2020-05-05 | 2818 E OAKLAND PARK BLVD, FORT LAUDERDALE, FL, 333061814, US | 2818 E OAKLAND PARK BLVD, FORT LAUDERDALE, FL, 333061814, US | |||||||||||||||||||||||||
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| Phone | +1 954-202-9898 |
| Fax | 9542029112 |
Authorized person
| Name | SUSANNE SACHSE |
| Role | ADMINISTRATOR |
| Phone | 9542029898 |
Taxonomy
| Taxonomy Code | 208200000X - Plastic Surgery Physician |
| License Number | ME 49596 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 257295800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SACHSE RAINER M | Agent | 2624 NE 27TH COURT, FORT LAUDERDALE, FL, 33306 |
| Name | Role | Address |
|---|---|---|
| SACHSE RAINER M | Director | 2818 E. Oakland Park Blvd., FT. LAUDERDALE, FL, 33306 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-02-12 | 2818 E. Oakland Park Blvd., FT. LAUDERDALE, FL 33306 | No data |
| CHANGE OF MAILING ADDRESS | 2015-02-12 | 2818 E. Oakland Park Blvd., FT. LAUDERDALE, FL 33306 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2002-03-06 | 2624 NE 27TH COURT, FORT LAUDERDALE, FL 33306 | No data |
| REGISTERED AGENT NAME CHANGED | 2000-01-28 | SACHSE, RAINER MD | No data |
| NAME CHANGE AMENDMENT | 1999-09-17 | BROWARD PLASTIC SURGERY, PA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-25 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-02-04 |
| ANNUAL REPORT | 2018-01-29 |
| ANNUAL REPORT | 2017-01-31 |
| ANNUAL REPORT | 2016-02-22 |
| ANNUAL REPORT | 2015-02-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
