| Entity Name: | EDWARD J. GROSS, M.D., P.L. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 May 2002 (23 years ago) |
| Document Number: | L02000011921 |
| FEI/EIN Number | 59-3613914 |
| Address: | 1035 PRIMERA BLVD, LAKE MARY, FL 32746 |
| Mail Address: | 1035 PRIMERA BLVD, LAKE MARY, FL 32746 |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801219944 | 2014-01-25 | 2014-08-05 | 1035 PRIMERA BLVD, LAKE MARY, FL, 327462193, US | 1035 PRIMERA BLVD, LAKE MARY, FL, 327462193, US | |||||||||||||||||||||||||||
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| Phone | +1 407-333-3040 |
| Fax | 4073333496 |
Authorized person
| Name | DR. EDWARD J GROSS |
| Role | OWNER |
| Phone | 4073333040 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| License Number | ME0074351 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207YX0007X - Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
| License Number | ME74351 |
| State | FL |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PRIMERA PLASTIC SURGERY CASH BALANCE PLAN | 2023 | 593613914 | 2024-09-12 | EDWARD J. GROSS, M.D., P.L. | 11 | |||||||||||||
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| PRIMERA PLASTIC SURGERY 401(K) PROFIT SHARING PLAN | 2023 | 593613914 | 2024-07-22 | EDWARD J. GROSS, M.D., P.L. | 13 | |||||||||||||
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| PRIMERA PLASTIC SURGERY 401(K) PROFIT SHARING PLAN | 2022 | 593613914 | 2023-10-05 | EDWARD J. GROSS, M.D., P.L. | 13 | |||||||||||||
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| PRIMERA PLASTIC SURGERY CASH BALANCE PLAN | 2022 | 593613914 | 2023-10-04 | EDWARD J. GROSS, M.D., P.L. | 9 | |||||||||||||
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| Name | Role |
|---|---|
| LIFEBOAT REGISTERED AGENTS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| GROSS, EDWARD J, Dr. | Manager | 1035 PRIMERA BLVD, LAKE MARY, FL 32746 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000045523 | PRIMERA DERMATOLOGY CENTER | EXPIRED | 2014-05-07 | 2019-12-31 | No data | 1035 PRIMERA BLVD, LAKE MARY, FL, 32746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-02-04 | Lifeboat Registered Agents, LLC | No data |
| CHANGE OF MAILING ADDRESS | 2014-07-11 | 1035 PRIMERA BLVD, LAKE MARY, FL 32746 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-16 | 3700 SOUTH CONWAY ROAD, SUITE 100, ORLANDO, FL 32812 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-04-30 | 1035 PRIMERA BLVD, LAKE MARY, FL 32746 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-21 |
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-31 |
| ANNUAL REPORT | 2019-01-11 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-03-24 |
| ANNUAL REPORT | 2016-03-14 |
Date of last update: 31 Jan 2025
Sources: Florida Department of State
