| Entity Name: | SUNSHINE MEDICAL INSTITUTE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 19 Nov 2003 (21 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | L03000045674 |
| FEI/EIN Number | 200481686 |
| Address: | 5124 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021 |
| Mail Address: | 5124 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710916879 | 2006-07-01 | 2020-08-22 | 5124 HOLLYWOOD BLVD, HOLLYWOOD, FL, 330216518, US | 5124 HOLLYWOOD BLVD, HOLLYWOOD, FL, 330216518, US | |||||||||||||||||||
|
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| Phone | +1 954-961-9777 |
| Fax | 9549873777 |
Authorized person
| Name | JESENIA BOSCH |
| Role | PRESIDENT |
| Phone | 9549619777 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | HCC5249 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FIERRO FRANCISCO | Agent | 5124 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| FIERRO FRANCISCO | Manager | 5124 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021 |
| BOSCH JESENIA | Manager | 5124 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-01-20 | 5124 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021 | No data |
| CHANGE OF MAILING ADDRESS | 2004-01-20 | 5124 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-01-20 | 5124 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-04-16 |
| ANNUAL REPORT | 2008-06-27 |
| ANNUAL REPORT | 2007-01-23 |
| ANNUAL REPORT | 2006-02-16 |
| ANNUAL REPORT | 2005-02-04 |
| ANNUAL REPORT | 2004-01-20 |
| Florida Limited Liabilites | 2003-11-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
