| Entity Name: | FLORIDA BALANCE CENTERS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 24 Jan 1992 (33 years ago) |
| Document Number: | V09508 |
| FEI/EIN Number | 65-0309324 |
| Address: | 3872 SHERIDAN STREET, HOLLYWOOD, FL 33021 |
| Mail Address: | 520 SE 12TH ST, # 205, Dania, FL 33004 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356411748 | 2006-11-09 | 2020-08-22 | 3872 SHERIDAN STREET, HOLLYWOOD, FL, 33021, US | 3872 SHERIDAN STREET, HOLLYWOOD, FL, 33021, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-987-7077 |
| Fax | 9549877044 |
Authorized person
| Name | THOMAS PATULLO |
| Role | PRESIDENT |
| Phone | 9549877077 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP1162 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OT931 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OT1273 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS |
| Number | X1398 |
| Name | Role | Address |
|---|---|---|
| PATULLO, THOMAS | Agent | 3872 SHERIDAN STREET, HOLLYWOOD, FL 33021 |
| Name | Role | Address |
|---|---|---|
| THOMAS, PATULLO | President | 3872 SHERIDAN STREET, HOLLYWOOD, FL 33021 |
| Name | Role | Address |
|---|---|---|
| Schwartz, Brianna Megan, Esq. | Executive Secretary | 3872 SHERIDAN STREET, HOLLYWOOD, FL 33021 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000039077 | ACUPUNCTURE & INTEGRATIVE MEDICINE | EXPIRED | 2013-04-23 | 2018-12-31 | No data | 3872 SHERIDAN STREET, HOLLYWOOD, FL, 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-03-07 | 3872 SHERIDAN STREET, HOLLYWOOD, FL 33021 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2001-04-17 | 3872 SHERIDAN STREET, HOLLYWOOD, FL 33021 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2001-04-17 | 3872 SHERIDAN STREET, HOLLYWOOD, FL 33021 | No data |
| REGISTERED AGENT NAME CHANGED | 1993-05-01 | PATULLO, THOMAS | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-03-27 |
| ANNUAL REPORT | 2016-03-30 |
| ANNUAL REPORT | 2015-04-13 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
