| Entity Name: | SARA J. BERNSTEIN, MD, LC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SARA J. BERNSTEIN, MD, LC 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. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 22 Feb 2006 (19 years ago) |
| Date of dissolution: | 23 Sep 2011 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (14 years ago) |
| Document Number: | L06000019122 |
| FEI/EIN Number |
204348982
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 10131 W FOREST HILL BLVD, 130, WELLINGTON, FL, 33414, US |
| Mail Address: | 11924 W FOREST HILL BLVD, 22-313, WELLINGTON, FL, 33414, US |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1851366934 | 2006-02-21 | 2009-07-15 | 11924 W FOREST HILL BLVD, SUITE 22-313, WELLINGTON, FL, 334146256, US | 10131 W FOREST HILL BLVD, SUITE 130, WELLINGTON, FL, 334146156, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-784-1933 |
| Fax | 5617845109 |
Authorized person
| Name | DR. SARA J BERNSTEIN |
| Role | MANAGING MEMBER |
| Phone | 5617841933 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| License Number | ME 79627 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DIMENSION HEALTH |
| Number | 20-1124411 |
| State | FL |
| Issuer | GREAT WEST |
| Number | 20-1124411 |
| State | FL |
| Issuer | PRIVATE HEALTHCARE SYSTEM |
| Number | 20-1124411 |
| State | FL |
| Issuer | MEDICAID |
| Number | 264231000 |
| State | FL |
| Issuer | AVMED |
| Number | 298473 |
| State | FL |
| Issuer | CIGNA |
| Number | 7531723 |
| State | FL |
| Issuer | BLUE CROSS / BLUE SHIELD |
| Number | 51338 |
| State | FL |
| Issuer | NEIGHBORHOOD HEALTH |
| Number | 45664 |
| State | FL |
| Issuer | UNITED |
| Number | 20-1124411 |
| State | FL |
| Issuer | AETNA |
| Number | 7872461 |
| State | FL |
| Issuer | BEECH STREET |
| Number | 20-1124411 |
| State | FL |
| Issuer | ONE-SOURCE |
| Number | 20-1124411 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BERNSTEIN SARA J | Managing Member | 11924 W FOREST HILL BLVD, #22-313, WELLINGTON, FL, 33414 |
| BERNSTEIN GLEN C | Managing Member | 11924 W FOREST HILL BLVD, #22-313, WELLINGTON, FL, 33414 |
| BERNSTEIN GLEN C | Agent | 11924 W FOREST HILL BLVD, WELLINGTON, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2009-05-01 | 10131 W FOREST HILL BLVD, 130, WELLINGTON, FL 33414 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-05-13 |
| ANNUAL REPORT | 2009-05-01 |
| ANNUAL REPORT | 2008-04-02 |
| ANNUAL REPORT | 2007-01-30 |
| Florida Limited Liability | 2006-02-22 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
