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PANAMA CITY PLASTIC SURGERY, L.L.C. - Florida Company Profile

Company Details

Entity Name: PANAMA CITY PLASTIC SURGERY, L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PANAMA CITY PLASTIC SURGERY, L.L.C. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 18 May 2000 (25 years ago)
Document Number: L00000005763
FEI/EIN Number 593647683

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 500 AIRPORT ROAD, PANAMA CITY, FL, 32405
Mail Address: 500 AIRPORT ROAD, PANAMA CITY, FL, 32405
ZIP code: 32405
County: Bay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043398621 2006-11-01 2020-08-22 500 AIRPORT RD, PANAMA CITY, FL, 324054011, US 500 AIRPORT RD, PANAMA CITY, FL, 324054011, US

Contacts

Phone +1 850-769-7270
Fax 8507697229

Authorized person

Name CHRISTINE YOUNGBLOOD
Role BILLING
Phone 8507697270

Taxonomy

Taxonomy Code 2086S0122X - Plastic and Reconstructive Surgery Physician
License Number ME67903
State FL
Is Primary Yes

Other Provider Identifiers

Issuer BCBS
Number 27145
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PANAMA CITY PLASTIC SURGERY PSP 2023 593647683 2024-05-21 PANAMA CITY PLASTIC SURGERY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-08-01
Business code 621111
Sponsor’s telephone number 8507697270
Plan sponsor’s address 500 AIRPORT ROAD, PANAMA CITY, FL, 32405

Signature of

Role Plan administrator
Date 2024-05-21
Name of individual signing MICHELLE MADDOX
Valid signature Filed with authorized/valid electronic signature
PANAMA CITY PLASTIC SURGERY PSP 2022 593647683 2023-06-21 PANAMA CITY PLASTIC SURGERY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-08-01
Business code 621111
Sponsor’s telephone number 8507697270
Plan sponsor’s address 500 AIRPORT ROAD, PANAMA CITY, FL, 32405

Signature of

Role Plan administrator
Date 2023-06-21
Name of individual signing MICHELLE MADDOX
Valid signature Filed with authorized/valid electronic signature
PANAMA CITY PLASTIC SURGERY PSP 2021 593647683 2022-05-13 PANAMA CITY PLASTIC SURGERY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-08-01
Business code 621111
Sponsor’s telephone number 8507697270
Plan sponsor’s address 500 AIRPORT ROAD, PANAMA CITY, FL, 32405

Signature of

Role Plan administrator
Date 2022-05-13
Name of individual signing MICHELLE MADDOX
Valid signature Filed with authorized/valid electronic signature
PANAMA CITY PLASTIC SURGERY PROFIT SHARING PLAN 2020 593647683 2021-03-03 PANAMA CITY PLASTIC SURGERY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-08-01
Business code 621111
Sponsor’s telephone number 8507697270
Plan sponsor’s address 500 AIRPORT ROAD, PANAMA CITY, FL, 32405

Signature of

Role Plan administrator
Date 2021-03-03
Name of individual signing MICHELLE MADDOX
Valid signature Filed with authorized/valid electronic signature
PANAMA CITY PLASTIC SURGERY PROFIT SHARING PLAN 2019 593647683 2020-07-08 PANAMA CITY PLASTIC SURGERY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-08-01
Business code 621111
Sponsor’s telephone number 8507697270
Plan sponsor’s address 500 AIRPORT ROAD, PANAMA CITY, FL, 32405

Signature of

Role Plan administrator
Date 2020-07-08
Name of individual signing MICHELLE MADDOX
Valid signature Filed with authorized/valid electronic signature
PANAMA CITY PLASTIC SURGERY PROFIT SHARING PLAN 2018 593647683 2019-07-12 PANAMA CITY PLASTIC SURGERY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-08-01
Business code 621111
Sponsor’s telephone number 8507697270
Plan sponsor’s address 500 AIRPORT ROAD, PANAMA CITY, FL, 32405

Signature of

Role Plan administrator
Date 2019-07-12
Name of individual signing MICHELLE MADDOX
Valid signature Filed with authorized/valid electronic signature
PANAMA CITY PLASTIC SURGERY PROFIT SHARING PLAN 2017 593647683 2018-05-25 PANAMA CITY PLASTIC SURGERY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-08-01
Business code 621111
Sponsor’s telephone number 8507697270
Plan sponsor’s address 500 AIRPORT ROAD, PANAMA CITY, FL, 32405

Signature of

Role Plan administrator
Date 2018-05-25
Name of individual signing MICHELLE MADDOX
Valid signature Filed with authorized/valid electronic signature
PANAMA CITY PLASTIC SURGERY PROFIT SHARING PLAN 2016 593647683 2017-03-17 PANAMA CITY PLASTIC SURGERY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-08-01
Business code 621111
Sponsor’s telephone number 8507697270
Plan sponsor’s address 500 AIRPORT ROAD, PANAMA CITY, FL, 32405

Signature of

Role Plan administrator
Date 2017-03-17
Name of individual signing MICHELLE MADDOX
Valid signature Filed with authorized/valid electronic signature
PANAMA CITY PLASTIC SURGERY PROFIT SHARING PLAN 2015 593647683 2016-04-13 PANAMA CITY PLASTIC SURGERY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-08-01
Business code 621111
Sponsor’s telephone number 8507697270
Plan sponsor’s address 500 AIRPORT ROAD, PANAMA CITY, FL, 32405

Signature of

Role Plan administrator
Date 2016-04-13
Name of individual signing MICHELLE MADDOX
Valid signature Filed with authorized/valid electronic signature
PANAMA CITY PLASTIC SURGERY PROFIT SHARING PLAN 2014 593647683 2015-07-21 PANAMA CITY PLASTIC SURGERY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-08-01
Business code 621111
Sponsor’s telephone number 8507697270
Plan sponsor’s address 500 AIRPORT ROAD, PANAMA CITY, FL, 32405

Signature of

Role Plan administrator
Date 2015-07-21
Name of individual signing MICHELLE BILETNIKOFF
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
MOCKLER RAYMOND A Managing Member 500 AIRPORT ROAD, PANAMA CITY, FL, 32405
MOCKLER RAYMOND A Agent 500 AIRPORT ROAD, PANAMA CITY, FL, 32405

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2003-03-05 500 AIRPORT ROAD, PANAMA CITY, FL 32405 -
CHANGE OF MAILING ADDRESS 2003-03-05 500 AIRPORT ROAD, PANAMA CITY, FL 32405 -
REGISTERED AGENT ADDRESS CHANGED 2003-03-05 500 AIRPORT ROAD, PANAMA CITY, FL 32405 -

Documents

Name Date
ANNUAL REPORT 2024-02-16
ANNUAL REPORT 2023-03-10
ANNUAL REPORT 2022-03-28
ANNUAL REPORT 2021-02-26
ANNUAL REPORT 2020-03-10
ANNUAL REPORT 2019-04-19
ANNUAL REPORT 2018-04-18
ANNUAL REPORT 2017-01-26
ANNUAL REPORT 2016-04-07
ANNUAL REPORT 2015-06-02

Date of last update: 01 Apr 2025

Sources: Florida Department of State