| Entity Name: | PHYSICIANS SURGICAL GROUP, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 24 Mar 2006 (19 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L06000031315 |
| FEI/EIN Number | 743171066 |
| Address: | 40 SE 5TH ST, STE 406, BOCA RATON, FL, 33432 |
| Mail Address: | 40 SE 5TH ST, STE 406, BOCA RATON, FL, 33432 |
| ZIP code: | 33432 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255543526 | 2007-05-07 | 2020-08-22 | 9291 NUGENT TRL, WEST PALM BEACH, FL, 334116327, US | 9291 NUGENT TRL, WEST PALM BEACH, FL, 334116327, US | |||||||||||||||||||
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| Phone | +1 561-333-4442 |
| Fax | 5614227870 |
Authorized person
| Name | DR. DAVID JEFFREY DORFMAN |
| Role | PARTNER |
| Phone | 5613687118 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | OS7760 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHYSICIANS SURGICAL GROUP 401 K PROFIT SHARING PLAN TRUST | 2013 | 743171066 | 2014-07-01 | PHYSICIANS SURGICAL GROUP | 14 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2014-07-01 |
| Name of individual signing | MARK FRITZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| VIA CAROL | Managing Member | 40 SE 5TH ST - STE 406, BOCA RATON, FL, 33432 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REINSTATEMENT | 2010-11-24 | No data | No data |
| PENDING REINSTATEMENT | 2010-11-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2008-10-29 | 40 SE 5TH ST, STE 406, BOCA RATON, FL 33432 | No data |
| LC AMENDMENT | 2008-10-29 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-10-29 | 40 SE 5TH ST, STE 406, BOCA RATON, FL 33432 | No data |
| CANCEL ADM DISS/REV | 2007-10-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2014-07-18 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-01-25 |
| ANNUAL REPORT | 2011-02-04 |
| REINSTATEMENT | 2010-11-24 |
| LC Amendment | 2008-10-29 |
| ANNUAL REPORT | 2008-01-14 |
| REINSTATEMENT | 2007-10-09 |
| Florida Limited Liability | 2006-03-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
