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PALM BEACH SURGICAL ASSOCIATES, LLC - Florida Company Profile

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Company Details

Entity Name: PALM BEACH SURGICAL ASSOCIATES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 11 Dec 2003 (22 years ago)
Date of dissolution: 21 Apr 2023 (2 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 21 Apr 2023 (2 years ago)
Document Number: L03000052374
FEI/EIN Number 650450956
Address: 12955 Palms West Dr., STE 101, Loxahatchee, FL, 33470, US
Mail Address: 12955 Palms West Dr., STE 101, Loxahatchee, FL, 33470, US
ZIP code: 33470
City: Loxahatchee
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CHIDAMBARAM ARUL B Managing Member 12955 Palms West Dr., Loxahatchee, FL, 33470
SAUERBERG ERIC M Agent 200 VILLAGE SQARE CROSSING, PALM BEACH GARDENS, FL, 33410

National Provider Identifier

NPI Number:
1831623602
Certification Date:
2020-07-01

Authorized Person:

Name:
AGUSTIN IBARROLA
Role:
CMO
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
5612376034
Fax:
5617989249

Form 5500 Series

Employer Identification Number (EIN):
650450956
Plan Year:
2021
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
20
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2023-04-21 - -
CHANGE OF PRINCIPAL ADDRESS 2017-04-25 12955 Palms West Dr., STE 101, Loxahatchee, FL 33470 -
CHANGE OF MAILING ADDRESS 2017-04-25 12955 Palms West Dr., STE 101, Loxahatchee, FL 33470 -
CANCEL ADM DISS/REV 2010-03-18 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 - -
MERGER 2003-12-24 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 0. MERGER NUMBER 700000047427

Documents

Name Date
VOLUNTARY DISSOLUTION 2023-04-21
AMENDED ANNUAL REPORT 2022-04-04
ANNUAL REPORT 2022-02-08
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-03-15
ANNUAL REPORT 2018-04-06
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-03-10
ANNUAL REPORT 2015-02-23

USAspending Awards / Financial Assistance

Date:
2020-05-08
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
99300.00
Total Face Value Of Loan:
99300.00

Paycheck Protection Program

Jobs Reported:
8
Initial Approval Amount:
$99,300
Date Approved:
2020-05-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$99,300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$100,088.88
Servicing Lender:
Truist Bank
Use of Proceeds:
Payroll: $99,300

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Date of last update: 02 Aug 2025

Sources: Florida Department of State