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FLORIDA PLASTIC SURGERY CENTER, LLC

Company Details

Entity Name: FLORIDA PLASTIC SURGERY CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 25 Jun 2004 (21 years ago)
Date of dissolution: 25 Apr 2013 (12 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 25 Apr 2013 (12 years ago)
Document Number: L04000048086
FEI/EIN Number 841652690
Address: 1220 59TH ST WEST, BRADENTON, FL, 34209
Mail Address: 1220 59TH ST WEST, BRADENTON, FL, 34209
ZIP code: 34209
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750596359 2007-05-14 2012-10-05 1220 59TH ST W, BRADENTON, FL, 342094154, US 1220 59TH ST W, BRADENTON, FL, 342094154, US

Contacts

Phone +1 941-795-2088
Fax 9417925139

Authorized person

Name DR. ENRIQUE J FERNANDEZM
Role OWNER
Phone 9417952088

Taxonomy

Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
License Number 1936
State FL
Is Primary Yes

Agent

Name Role Address
GALVANO WILLIAM SESQ Agent 1023 MANATEE AVE WEST, BRADENTON, FL, 34205

Managing Member

Name Role
BRADENTON PLASTIC SURGERY, P.A. Managing Member

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2013-04-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2010-04-20 1220 59TH ST WEST, BRADENTON, FL 34209 No data
CHANGE OF MAILING ADDRESS 2010-04-20 1220 59TH ST WEST, BRADENTON, FL 34209 No data
REGISTERED AGENT NAME CHANGED 2010-04-20 GALVANO, WILLIAM S, ESQ No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2013-04-25
ANNUAL REPORT 2012-02-15
ANNUAL REPORT 2011-04-14
ANNUAL REPORT 2010-04-20
ANNUAL REPORT 2009-04-22
ANNUAL REPORT 2008-04-15
ANNUAL REPORT 2007-04-11
ANNUAL REPORT 2006-04-17
ANNUAL REPORT 2005-03-21
Florida Limited Liabilites 2004-06-25

Date of last update: 02 Feb 2025

Sources: Florida Department of State