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  5. CYPRESS CREEK MEDICAL CENTER INC.

CYPRESS CREEK MEDICAL CENTER INC.

Company Details

Entity Name: CYPRESS CREEK MEDICAL CENTER INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 06 Feb 1985 (40 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 20 Jun 1990 (35 years ago)
Document Number: H41727
FEI/EIN Number 59-2487263
Address: 912 N.E. 62ND STREET, FT. LAUDERDALE, FL 33334
Mail Address: 912 N.E. 62ND STREET, FT. LAUDERDALE, FL 33334
ZIP code: 33334
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699048546 2012-02-22 2012-02-22 912 NE 62ND ST, FORT LAUDERDALE, FL, 333344110, US 912 NE 62ND ST, FORT LAUDERDALE, FL, 333344110, US

Contacts
Phone +1 954-771-3113
Fax 9547712856

Authorized person
Name MR. AVTAR SANDHU
Role PRESIDENT
Phone 9547713113

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME0041535
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CYPRESS CREEK MEDICAL CENTER, INC. 2023 592487263 2024-07-30 CYPRESS CREEK MEDICAL CENTER, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-10-01
Business code 621112
Sponsor’s telephone number 9547713113
Plan sponsor’s mailing address 921 NE 62ND ST, FORT LAUDERDALE, FL, 333344116
Plan sponsor’s address 921 NE 62ND ST, FORT LAUDERDALE, FL, 333344116

Number of participants as of the end of the plan year
Active participants 8
Number of participants with account balances as of the end of the plan year 8

Signature of
Role Plan administrator
Date 2024-07-30
Name of individual signing AVTAR SANDHU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-30
Name of individual signing AVTAR SANDHU
Valid signature Filed with authorized/valid electronic signature
CYPRESS CREEK MEDICAL CENTER, INC. 2022 592487263 2023-07-31 CYPRESS CREEK MEDICAL CENTER, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-10-01
Business code 621112
Sponsor’s telephone number 9547713113
Plan sponsor’s mailing address 921 NE 62ND ST, FORT LAUDERDALE, FL, 333344116
Plan sponsor’s address 921 NE 62ND ST, FORT LAUDERDALE, FL, 333344116

Number of participants as of the end of the plan year
Active participants 8
Number of participants with account balances as of the end of the plan year 8

Signature of
Role Plan administrator
Date 2023-07-31
Name of individual signing AVTAR SANDHU
Valid signature Filed with authorized/valid electronic signature
CYPRESS CREEK MEDICAL CENTER, INC. 2021 592487263 2022-08-01 CYPRESS CREEK MEDICAL CENTER, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-10-01
Business code 621112
Sponsor’s telephone number 9547713113
Plan sponsor’s mailing address 921 NE 62ND ST, FORT LAUDERDALE, FL, 333344116
Plan sponsor’s address 921 NE 62ND ST, FORT LAUDERDALE, FL, 333344116

Number of participants as of the end of the plan year
Active participants 8
Number of participants with account balances as of the end of the plan year 8

Signature of
Role Plan administrator
Date 2022-08-01
Name of individual signing AVTAR SANDHU
Valid signature Filed with authorized/valid electronic signature
CYPRESS CREEK MEDICAL CENTER, INC. 2020 592487263 2021-08-05 CYPRESS CREEK MEDICAL CENTER, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-10-01
Business code 621112
Sponsor’s telephone number 9547713113
Plan sponsor’s mailing address 921 NE 62ND ST, FORT LAUDERDALE, FL, 333344116
Plan sponsor’s address 921 NE 62ND ST, FORT LAUDERDALE, FL, 333344116

Number of participants as of the end of the plan year
Active participants 8
Number of participants with account balances as of the end of the plan year 8

Signature of
Role Plan administrator
Date 2021-08-05
Name of individual signing AVTAR SANDHU
Valid signature Filed with authorized/valid electronic signature
CYPRESS CREEK MEDICAL CENTER, INC. 2019 592487263 2020-07-28 CYPRESS CREEK MEDICAL CENTER, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-10-01
Business code 621112
Sponsor’s telephone number 9547713113
Plan sponsor’s mailing address 921 NE 62ND ST, FORT LAUDERDALE, FL, 333344116
Plan sponsor’s address 921 NE 62ND ST, FORT LAUDERDALE, FL, 333344116

Number of participants as of the end of the plan year
Active participants 8
Number of participants with account balances as of the end of the plan year 8

Signature of
Role Plan administrator
Date 2020-07-28
Name of individual signing AVTAR SANDHU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-28
Name of individual signing AVTAR SANDHU
Valid signature Filed with authorized/valid electronic signature
CYPRESS CREEK MEDICAL CENTER, INC 2018 592487263 2019-07-30 CYPRESS CREEK MEDICAL CENTER, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-10-01
Business code 621112
Sponsor’s telephone number 9547713113
Plan sponsor’s mailing address 921 NE 62ND ST, FORT LAUDERDALE, FL, 333344116
Plan sponsor’s address 921 NE 62ND ST, FORT LAUDERDALE, FL, 333344116

Number of participants as of the end of the plan year
Active participants 8

Signature of
Role Plan administrator
Date 2019-07-30
Name of individual signing AVTAR SANDHU
Valid signature Filed with authorized/valid electronic signature
CYPRESS CREEK MEDICAL CENTER, INC 2017 592487263 2018-07-27 CYPRESS CREEK MEDICAL CENTER, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-10-01
Business code 621112
Sponsor’s telephone number 9547713113
Plan sponsor’s mailing address 921 NE 62ND ST, FORT LAUDERDALE, FL, 333344116
Plan sponsor’s address 921 NE 62ND ST, FORT LAUDERDALE, FL, 333344116

Number of participants as of the end of the plan year
Active participants 8

Signature of
Role Plan administrator
Date 2018-07-27
Name of individual signing AVTAR SANDHU
Valid signature Filed with authorized/valid electronic signature
CYPRESS CREEK MEDICAL CENTER, INC 2016 592487263 2017-10-12 CYPRESS CREEK MEDICAL CENTER, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-10-01
Business code 621112
Sponsor’s telephone number 9547713113
Plan sponsor’s mailing address 921 NE 62ND ST, FORT LAUDERDALE, FL, 333344116
Plan sponsor’s address 921 NE 62ND ST, FORT LAUDERDALE, FL, 333344116

Number of participants as of the end of the plan year
Active participants 8

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing AVTAR SANDHU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-12
Name of individual signing AVTAR SANDHU
Valid signature Filed with authorized/valid electronic signature
CYPRESS CREEK MEDICAL CENTER, INC 2015 592487263 2016-10-13 CYPRESS CREEK MEDICAL CENTER, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-10-01
Business code 621112
Sponsor’s telephone number 9547713113
Plan sponsor’s mailing address 921 NE 62ND ST, FORT LAUDERDALE, FL, 333344116
Plan sponsor’s address 921 NE 62 STREET, FORT LAUDERDALE, FL, 33334

Plan administrator’s name and address
Administrator’s EIN 592487263
Plan administrator’s name CYPRESS CREEK MEDICAL CENTER, INC.
Plan administrator’s address 921 NE 62ND ST, FORT LAUDERDALE, FL, 333344116
Administrator’s telephone number 9547713113

Number of participants as of the end of the plan year
Active participants 8

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing AVTAR SANDHU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-13
Name of individual signing AVTAR SANDHU
Valid signature Filed with authorized/valid electronic signature
CYPRESS CREEK MEDICAL CENTER, INC 2014 592487263 2015-10-07 CYPRESS CREEK MEDICAL CENTER, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-10-01
Business code 621112
Sponsor’s telephone number 9547713113
Plan sponsor’s mailing address 921 NE 92ND STREET, FORT LAUDERDALE, FL, 33334
Plan sponsor’s address 921 NE 92ND STREET, FORT LAUDERDALE, FL, 33334

Number of participants as of the end of the plan year
Active participants 7

Signature of
Role Plan administrator
Date 2015-10-07
Name of individual signing AVTAR SANDHU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-07
Name of individual signing AVTAR SANDHU
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Green, Mitchell F Agent 4000 Hollywood Blvd., Suite 485S, Hollywood, FL 33021

President

Name Role Address
Mann, AJAIB President 912 N.E. 62ND STREET, FT. LAUDERDALE, FL 33334

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-03-20 Green, Mitchell F No data
REGISTERED AGENT ADDRESS CHANGED 2024-03-20 4000 Hollywood Blvd., Suite 485S, Hollywood, FL 33021 No data
REINSTATEMENT 1990-06-20 No data No data
INVOLUNTARILY DISSOLVED 1987-11-16 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-12
ANNUAL REPORT 2024-03-20
ANNUAL REPORT 2023-02-14
ANNUAL REPORT 2022-01-23
ANNUAL REPORT 2021-02-07
ANNUAL REPORT 2020-02-08
ANNUAL REPORT 2019-02-18
ANNUAL REPORT 2018-02-28
ANNUAL REPORT 2017-01-30
ANNUAL REPORT 2016-01-28

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 04 Feb 2025

Sources: Florida Department of State

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