| Entity Name: | SURGICAL GROUP OF WINTER PARK, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 Nov 2004 (20 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L04000082763 |
| FEI/EIN Number | 201886606 |
| Address: | 2828 CASA ALOMA WAY, 100, WINTER PARK, FL, 32792 |
| Mail Address: | 2828 CASA ALOMA WAY #100, WINTER PARK, FL, 32792 |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871812289 | 2010-05-25 | 2013-08-22 | 232 OSCEOLA CT, WINTER PARK, FL, 327894431, US | 2828 CASA ALOMA WAY, SUITE 100, WINTER PARK, FL, 327922223, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 407-673-9992 |
| Fax | 4076739902 |
Authorized person
| Name | DR. JOSEPH ROBINSON BENNETT |
| Role | PRESIDENT |
| Phone | 4076739992 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| License Number | OS0003899 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| License Number | OS0003899 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| License Number | OS0003899 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BENNETT JOSEPH R | Agent | 2828 CASA ALOMA WAY #100, WINTER PARK, FL, 32792 |
| Name | Role | Address |
|---|---|---|
| BENNETT PATRICIA | Manager | 232 OSCEOLA CT, WINTER PARK, FL, 32789 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-02 | 2828 CASA ALOMA WAY, 100, WINTER PARK, FL 32792 | No data |
| LC STMNT OF RA/RO CHG | 2014-04-02 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-02 | 2828 CASA ALOMA WAY #100, WINTER PARK, FL 32792 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-02 | BENNETT, JOSEPH R | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-20 | 2828 CASA ALOMA WAY, 100, WINTER PARK, FL 32792 | No data |
| REINSTATEMENT | 2008-01-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-02-02 |
| ANNUAL REPORT | 2015-03-19 |
| CORLCRACHG | 2014-04-02 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-01-08 |
| ANNUAL REPORT | 2012-01-20 |
| ANNUAL REPORT | 2011-01-07 |
| ANNUAL REPORT | 2010-02-16 |
| ANNUAL REPORT | 2009-02-23 |
| REINSTATEMENT | 2008-01-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
