| Entity Name: | SOLOMON & SOLOMON MEDICAL CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Jul 2001 (24 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L01000011682 |
| FEI/EIN Number | 650905871 |
| Address: | 8700 W Flagler Street, Miami, FL, 33174, US |
| Mail Address: | 8700 W Flagler Street, Miami, FL, 33174, US |
| ZIP code: | 33174 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851736292 | 2013-04-29 | 2013-09-10 | 1600 N STATE ROAD 7, SUITE 200, LAUDERHILL, FL, 333135853, US | 1600 N STATE ROAD 7, SUITE 200, LAUDERHILL, FL, 333135853, US | |||||||||||||||||||||||||
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| Phone | +1 954-583-1971 |
| Fax | 9545831179 |
Authorized person
| Name | DR. VALERIE T SOLOMON |
| Role | MEDICAL DOCTOR |
| Phone | 9545831971 |
Taxonomy
| Taxonomy Code | 173000000X - Legal Medicine |
| License Number | ME0071882 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 251818000 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SOLOMON & SOLOMON MEDICAL 401K PROFIT SHARING PLAN AND TRUST | 2017 | 650905871 | 2018-08-02 | SOLOMON & SOLOMON MEDICAL CLINIC | 5 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2018-08-02 |
| Name of individual signing | VAL SOLOMON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9545831971 |
| Plan sponsor’s address | 1600 N STATE RD 7, STE 200, LAUDERHILL, FL, 33313 |
Signature of
| Role | Plan administrator |
| Date | 2017-07-28 |
| Name of individual signing | VAL SOLOMON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9545831971 |
| Plan sponsor’s address | 1600 N STATE RD 7, STE 200, LAUDERHILL, FL, 33313 |
Signature of
| Role | Plan administrator |
| Date | 2016-08-11 |
| Name of individual signing | VAL SOLOMON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Collins Stanton k | Agent | 8700 W Flagler Street, Miami, FL, 33174 |
| Name | Role | Address |
|---|---|---|
| Collins Stanton k | President | 8700 W Flagler Street, Doral, FL, 33174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-27 | 8700 W Flagler Street, Suite 300, Miami, FL 33174 | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-27 | 8700 W Flagler Street, Suite 300, Miami, FL 33174 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-27 | 8700 W Flagler Street, Suite 280, Miami, FL 33174 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-30 | Collins, Stanton k | No data |
| REINSTATEMENT | 2004-12-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2002-10-04 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-03-27 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| AMENDED ANNUAL REPORT | 2017-10-20 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-04-04 |
| ANNUAL REPORT | 2015-04-23 |
| ANNUAL REPORT | 2014-03-20 |
| ANNUAL REPORT | 2013-04-08 |
| ANNUAL REPORT | 2012-04-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
