| Entity Name: | OSPREY PHYSICAL MEDICINE CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 14 Jul 2003 (22 years ago) |
| Date of dissolution: | 14 Sep 2007 (17 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (17 years ago) |
| Document Number: | L03000025669 |
| FEI/EIN Number | 542117631 |
| Address: | 2111 S. TAMIAMI TRAIL, OSPREY, FL, 34229 |
| Mail Address: | 2111 S. TAMIAMI TRAIL, OSPREY, FL, 34229 |
| ZIP code: | 34229 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902905011 | 2006-09-22 | 2020-08-22 | 2111 S TAMIAMI TRL, OSPREY, FL, 342299668, US | 2111 S TAMIAMI TRL, OSPREY, FL, 342299668, US | |||||||||||||||||
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| Phone | +1 941-966-2900 |
Authorized person
| Name | DR. DAVID MAJERCIN |
| Role | OWNER |
| Phone | 9419662900 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | CH7308 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MAJERCIN DAVID M | Agent | 2111 S. TAMIAMI TRAIL, OSPREY, FL, 34229 |
| Name | Role | Address |
|---|---|---|
| MAJERCIN DAVID M | President | 2111 S. TAMIAMI TRAIL, OSPREY, FL, 34229 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-08-23 | 2111 S. TAMIAMI TRAIL, OSPREY, FL 34229 | No data |
| CHANGE OF MAILING ADDRESS | 2004-08-23 | 2111 S. TAMIAMI TRAIL, OSPREY, FL 34229 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-08-23 | 2111 S. TAMIAMI TRAIL, OSPREY, FL 34229 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2006-04-28 |
| ANNUAL REPORT | 2005-05-24 |
| ANNUAL REPORT | 2004-08-23 |
| Florida Limited Liabilites | 2003-07-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
