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  5. UROLOGY SPECIALTY GROUP, LLC

UROLOGY SPECIALTY GROUP, LLC

Company Details

Entity Name: UROLOGY SPECIALTY GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 26 Jan 2004 (21 years ago)
Date of dissolution: 25 Sep 2015 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (9 years ago)
Document Number: L04000009155
FEI/EIN Number 200658451
Address: 2931 CORAL WAY, MIAMI, FL, 33145, US
Mail Address: 2931 CORAL WAY, MIAMI, FL, 33145, US
ZIP code: 33145
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235395468 2008-08-07 2008-08-07 500 N HIATUS RD, SUITE 107, PEMBROKE PINES, FL, 330265213, US 500 N HIATUS RD, SUITE 107, PEMBROKE PINES, FL, 330265213, US

Contacts
Phone +1 786-621-3897
Fax 7869752643

Authorized person
Name CLARA GOMEZ
Role CREDENTIALING
Phone 7866213897

Taxonomy
Taxonomy Code 208800000X - Urology Physician
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UROLOGY SPECIALTY GROUP, LLC DEFINED BENEFIT PLAN 2011 200658451 2012-10-15 UROLOGY SPECIALTY GROUP, LLC 112
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3053454315
Plan sponsor’s address 2931 CORAL WAY, MIAMI, FL, 33145

Plan administrator’s name and address
Administrator’s EIN 200658451
Plan administrator’s name UROLOGY SPECIALTY GROUP, LLC
Plan administrator’s address 2931 CORAL WAY, MIAMI, FL, 33145
Administrator’s telephone number 3053454315

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing JANESIS DIAZ
Valid signature Filed with authorized/valid electronic signature
UROLOGY SPECIALTY GROUP, LLC 401(K) RETIREMENT PLAN 2010 200658451 2011-09-30 UROLOGY SPECIALTY GROUP, LLC 139
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3056132857
Plan sponsor’s mailing address 2013 CORAL WAY, SUITE 600, MIAMI, FL, 33145
Plan sponsor’s address 2103 CORAL WAY, SUITE 600, MIAMI, FL, 33145

Plan administrator’s name and address
Administrator’s EIN 200658451
Plan administrator’s name UROLOGY SPECIALTY GROUP, LLC
Plan administrator’s address 2013 CORAL WAY, SUITE 600, MIAMI, FL, 33145
Administrator’s telephone number 3056132857

Number of participants as of the end of the plan year
Active participants 124
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 11
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 118
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2011-09-30
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature
UROLOGY SPECIALTY GROUP, LLC DEFINED BENEFIT PLAN 2010 200658451 2011-09-30 UROLOGY SPECIALTY GROUP, LLC 102
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3056132857
Plan sponsor’s address 2103 CORAL WAY, SUITE 600, MIAMI, FL, 33145

Plan administrator’s name and address
Administrator’s EIN 200658451
Plan administrator’s name UROLOGY SPECIALTY GROUP, LLC
Plan administrator’s address 2103 CORAL WAY, SUITE 600, MIAMI, FL, 33145
Administrator’s telephone number 3056132857

Signature of
Role Plan administrator
Date 2011-09-30
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature
UROLOGY SPECIALTY GROUP, LLC 401(K) RETIREMENT PLAN 2009 200658451 2010-10-06 UROLOGY SPECIALTY GROUP, LLC 135
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3056132857
Plan sponsor’s mailing address 132 MINORCA AVENUE, CORAL GABLES, FL, 331344510
Plan sponsor’s address 132 MINORCA AVENUE, CORAL GABLES, FL, 331344510

Plan administrator’s name and address
Administrator’s EIN 200658451
Plan administrator’s name UROLOGY SPECIALTY GROUP, LLC
Plan administrator’s address 132 MINORCA AVENUE, CORAL GABLES, FL, 331344510
Administrator’s telephone number 3056132857

Number of participants as of the end of the plan year
Active participants 112
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 14
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 92
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 6

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature
UROLOGY SPECIALTY GROUP, LLC 401(K) RETIREMENT PLAN 2009 200658451 2010-10-06 UROLOGY SPECIALTY GROUP, LLC 135
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3056132857
Plan sponsor’s mailing address 132 MINORCA AVENUE, CORAL GABLES, FL, 331344510
Plan sponsor’s address 132 MINORCA AVENUE, CORAL GABLES, FL, 331344510

Plan administrator’s name and address
Administrator’s EIN 200658451
Plan administrator’s name UROLOGY SPECIALTY GROUP, LLC
Plan administrator’s address 132 MINORCA AVENUE, CORAL GABLES, FL, 331344510
Administrator’s telephone number 3056132857

Number of participants as of the end of the plan year
Active participants 112
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 14
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 92
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 6

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature
UROLOGY SPECIALTY GROUP, LLC 401(K) RETIREMENT PLAN 2009 200658451 2010-10-06 UROLOGY SPECIALTY GROUP, LLC 135
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3056132857
Plan sponsor’s mailing address 132 MINORCA AVENUE, CORAL GABLES, FL, 331344510
Plan sponsor’s address 132 MINORCA AVENUE, CORAL GABLES, FL, 331344510

Plan administrator’s name and address
Administrator’s EIN 200658451
Plan administrator’s name UROLOGY SPECIALTY GROUP, LLC
Plan administrator’s address 132 MINORCA AVENUE, CORAL GABLES, FL, 331344510
Administrator’s telephone number 3056132857

Number of participants as of the end of the plan year
Active participants 112
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 14
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 92
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 6

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature
UROLOGY SPECIALTY GROUP, LLC DEFINED BENEFIT PLAN 2009 200658451 2010-10-06 UROLOGY SPECIALTY GROUP, LLC 89
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3054411012
Plan sponsor’s address 2103 CORAL WAY, SUITE 600, MIAMI, FL, 33145

Plan administrator’s name and address
Administrator’s EIN 200658451
Plan administrator’s name UROLOGY SPECIALTY GROUP, LLC
Plan administrator’s address 2103 CORAL WAY, SUITE 600, MIAMI, FL, 33145
Administrator’s telephone number 3054411012

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
SMITH, BUZZI & ASSOCIATES LLC Agent

President

Name Role Address
ESPOSITO JOSEPH M President 2931 CORAL WAY, MIAMI, FL, 33145

Vice President

Name Role Address
HAN HOKE Vice President 6030 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33024
WEITZENFELD MARK Vice President 21110 BISCAYNE BLVD STE 401, AVENTURA, FL, 33180

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
REGISTERED AGENT NAME CHANGED 2014-04-29 SMITH, BUZZI & ASSOCIATES LLC No data
CHANGE OF PRINCIPAL ADDRESS 2012-03-23 2931 CORAL WAY, MIAMI, FL 33145 No data
CHANGE OF MAILING ADDRESS 2012-03-23 2931 CORAL WAY, MIAMI, FL 33145 No data
REGISTERED AGENT ADDRESS CHANGED 2011-04-19 2103 CORAL WAY, STE. 305, MIAMI, FL 33145 No data

Documents

Name Date
ANNUAL REPORT 2014-04-29
ANNUAL REPORT 2013-04-23
ANNUAL REPORT 2012-03-23
ANNUAL REPORT 2011-04-19
Reg. Agent Change 2010-10-15
ANNUAL REPORT 2010-04-12
ANNUAL REPORT 2009-03-20
ANNUAL REPORT 2008-01-08
ANNUAL REPORT 2007-04-20
ANNUAL REPORT 2006-03-27

Related by officers

ESPOSITO JOSEPH M

JME TRUCK RENTAL, LLC THE EXPRESS MATTRESS COMPANY, LLC JOVIN RANCH AND FARMS, LLC PROGRESS HOMES OF CENTRAL FLORIDA, LLC JOVIN LAND SERVICES, LLC JOVIN COMPANIES I, LLC WHISPERING TRAILS HOLDINGS, LLC KENSINGTON VIEW HOLDINGS, LLC MOSS ROAD HOLDINGS, LLC BELLA VISTA LAND INVESTMENTS, LLC

WEITZENFELD MARK

DADE - BROWARD UROLOGY LLC UROLEASE LLC HOYA OF HOLLYWOOD, INC. UROLOGY WELLNESS, L.L.C.

Related by address

2931 CORAL WAY, MIAMI, FL, 33145, US

USG BILLING ENTERPRISE LLC USG PATH LLC USG BUSINESS SOLUTIONS, LLC

2931 CORAL WAY, MIAMI, FL, 33145, US

USG BILLING ENTERPRISE LLC USG PATH LLC USG BUSINESS SOLUTIONS, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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