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  5. SOUTH FLORIDA SURGICAL SPECIALISTS, LLC

SOUTH FLORIDA SURGICAL SPECIALISTS, LLC - Florida Company Profile

Company Details

Entity Name: SOUTH FLORIDA SURGICAL SPECIALISTS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SOUTH FLORIDA SURGICAL SPECIALISTS, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 06 Oct 2004 (21 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 24 Sep 2015 (10 years ago)
Document Number: L04000072501
FEI/EIN Number 201759480

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 3001 CORAL HILLS DRIVE, SUITE 320, CORAL SPRINGS, FL, 33065, US
Mail Address: 3001 CORAL HILLS DRIVE, SUITE 320, CORAL SPRINGS, FL, 33065, US
ZIP code: 33065
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346998812 2022-03-14 2022-03-14 3001 CORAL HILLS DR STE 320, CORAL SPRINGS, FL, 330654172, US 9980 CENTRAL PARK BLVD N STE 314, BOCA RATON, FL, 334281704, US

Contacts
Phone +1 954-755-0111
Fax 9547550243
Phone +1 561-483-3989
Fax 7532275792

Authorized person
Name MARK SHACHNER
Role OWNER
Phone 9547550111

Taxonomy
Taxonomy Code 208600000X - Surgery Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTH FLORIDA SURGICAL SPECIALISTS, LLC 401(K) SAFE HARBOR PROFIT SHARING PLAN 2017 201759480 2018-06-13 SOUTH FLORIDA SURGICAL SPECIALISTS, LLC 119
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9547550111
Plan sponsor’s address 3001 CORAL HILLS DRIVE #320, CORAL SPRINGS, FL, 33065
SOUTH FLORIDA SURGICAL SPECIALISTS, LLC 401(K) SAFE HARBOR PROFIT SHARING PLAN 2016 201759480 2017-11-06 SOUTH FLORIDA SURGICAL SPECIALISTS, LLC 108
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9547550111
Plan sponsor’s address 3001 CORAL HILLS DRIVE #320, CORAL SPRINGS, FL, 33065
SOUTH FLORIDA SURGICAL SPECIALISTS, LLC 401(K) SAFE HARBOR PROFIT SHARING PLAN 2015 201759480 2016-05-31 SOUTH FLORIDA SURGICAL SPECIALISTS, LLC 83
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9547550111
Plan sponsor’s address 3001 CORAL HILLS DRIVE #320, CORAL SPRINGS, FL, 33065
SOUTH FLORIDA SURGICAL SPECIALISTS, LLC 401(K) SAFE HARBOR PROFIT SHARING PLAN 2014 201759480 2015-09-23 SOUTH FLORIDA SURGICAL SPECIALISTS, LLC 79
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9547550111
Plan sponsor’s address 3001 CORAL HILLS DRIVE #320, CORAL SPRINGS, FL, 33065
SOUTH FLORIDA SURGICAL SPECIALISTS, LLC 401(K) SAFE HARBOR PROFIT SHARING PLAN 2013 201759480 2014-08-21 SOUTH FLORIDA SURGICAL SPECIALISTS, LLC 70
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9547550111
Plan sponsor’s address 3001 CORAL HILLS DRIVE #320, CORAL SPRINGS, FL, 33065
SOUTH FLORIDA SURGICAL SPECIALISTS, LLC 401(K) SAFE HARBOR PROFIT SHARING PLAN 2012 201759480 2013-09-05 SOUTH FLORIDA SURGICAL SPECIALISTS, LLC 62
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9547550111
Plan sponsor’s address 3001 CORAL HILLS DRIVE #320, CORAL SPRINGS, FL, 33065

Signature of
Role Plan administrator
Date 2013-09-05
Name of individual signing MARK SHACHNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-05
Name of individual signing MARK SHACHNER
Valid signature Filed with authorized/valid electronic signature
SOUTH FLORIDA SURGICAL SPECIALISTS, LLC 401(K) SAFE HARBOR PROFIT SHARING PLAN 2011 201759480 2012-10-04 SOUTH FLORIDA SURGICAL SPECIALISTS, LLC 57
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9547550111
Plan sponsor’s address 3001 CORAL HILLS DRIVE #320, CORAL SPRINGS, FL, 33065

Plan administrator’s name and address
Administrator’s EIN 201759480
Plan administrator’s name SOUTH FLORIDA SURGICAL SPECIALISTS, LLC
Plan administrator’s address 3001 CORAL HILLS DRIVE #320, CORAL SPRINGS, FL, 33065
Administrator’s telephone number 9547550111

Signature of
Role Plan administrator
Date 2012-10-04
Name of individual signing MARK SHACHNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-04
Name of individual signing MARK SHACHNER
Valid signature Filed with authorized/valid electronic signature
SOUTH FLORIDA SURGICAL SPECIALISTS, LLC 401(K) SAFE HARBOR PROFIT SHARING PLAN 2010 201759480 2011-09-27 SOUTH FLORIDA SURGICAL SPECIALISTS, LLC 36
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9547550111
Plan sponsor’s address 3001 CORAL HILLS DRIVE #320, CORAL SPRINGS, FL, 33065

Plan administrator’s name and address
Administrator’s EIN 201759480
Plan administrator’s name SOUTH FLORIDA SURGICAL SPECIALISTS, LLC
Plan administrator’s address 3001 CORAL HILLS DRIVE #320, CORAL SPRINGS, FL, 33065
Administrator’s telephone number 9547550111

Signature of
Role Plan administrator
Date 2011-09-27
Name of individual signing JUSTIN GULAREK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-27
Name of individual signing JUSTIN GULAREK
Valid signature Filed with authorized/valid electronic signature
SOUTH FLORIDA SURGICAL SPECIALISTS, LLC 401(K) SAFE HARBOR PROFIT SHARING PLAN 2009 201759480 2010-10-07 SOUTH FLORIDA SURGICAL SPECIALISTS, LLC 35
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9547550111
Plan sponsor’s address 3001 CORAL HILLS DRIVE #320, CORAL SPRINGS, FL, 33065

Plan administrator’s name and address
Administrator’s EIN 201759480
Plan administrator’s name SOUTH FLORIDA SURGICAL SPECIALISTS, LLC
Plan administrator’s address 3001 CORAL HILLS DRIVE #320, CORAL SPRINGS, FL, 33065
Administrator’s telephone number 9547550111

Signature of
Role Plan administrator
Date 2010-10-07
Name of individual signing JUSTIN GULAREK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-07
Name of individual signing JUSTIN GULAREK
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
SHACHNER MARK Manager 3001 CORAL HILLS DRIVE SUITE 320, CORAL SPRINGS, FL, 33065
KIMMELMAN RANDY Vice President 3467 W. HILLSBORO BLVD, SUITE B, DEERFIELD BEACH, FL, 33442
STRICOFF RONALD Secretary 3467 W. HILLSBORO BLVD, SUITE B, DEERFIELD BEACH, FL, 33442
PORUDOMINSKY DAVID Treasurer 2825 NORTH STATE RD., MARGATE, FL, 33063
Gularek Justin CMBA Agent 3001 CORAL HILLS DRIVE, CORAL SPRINGS, FL, 33065

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000060704 SOUTH FLORIDA SPECIALISTS EXPIRED 2016-06-20 2021-12-31 - 3001 CORAL HILLS DR, STE 320, CORAL SPRINGS, FL, 33065

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2016-02-01 Gularek, Justin C, MBA -
LC STMNT OF RA/RO CHG 2015-09-24 - -
REGISTERED AGENT ADDRESS CHANGED 2012-08-23 3001 CORAL HILLS DRIVE, SUITE 320, CORAL SPRINGS, FL 33065 -
CHANGE OF PRINCIPAL ADDRESS 2009-03-16 3001 CORAL HILLS DRIVE, SUITE 320, CORAL SPRINGS, FL 33065 -
CHANGE OF MAILING ADDRESS 2009-03-16 3001 CORAL HILLS DRIVE, SUITE 320, CORAL SPRINGS, FL 33065 -

Documents

Name Date
ANNUAL REPORT 2025-01-20
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-02-03
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-29
ANNUAL REPORT 2017-01-27
ANNUAL REPORT 2016-02-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3475477101 2020-04-11 0455 PPP 3001 CORAL HILLS DR STE 320, CORAL SPRINGS, FL, 33065-4143
Loan Status Date 2021-06-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1500500
Loan Approval Amount (current) 1500500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address CORAL SPRINGS, BROWARD, FL, 33065-4143
Project Congressional District FL-23
Number of Employees 140
NAICS code 621493
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 1516255.25
Forgiveness Paid Date 2021-05-13

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STRICOFF RONALD

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PORUDOMINSKY DAVID

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LA TINA, LLC - Active
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Companies related by address

No other companies in our directory share the same address as SOUTH FLORIDA SURGICAL SPECIALISTS, LLC

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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