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  5. UNIVERSAL SURGICAL ASSOCIATES, LLC

UNIVERSAL SURGICAL ASSOCIATES, LLC

Company Details

Entity Name: UNIVERSAL SURGICAL ASSOCIATES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 06 Nov 2007 (17 years ago)
Date of dissolution: 01 Feb 2021 (4 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 01 Feb 2021 (4 years ago)
Document Number: L07000112177
FEI/EIN Number 261367706
Address: 3181 CORAL WAY,, MIAMI, FL, 33145, US
Mail Address: 3181 CORAL WAY,, MIAMI, FL, 33145, US
ZIP code: 33145
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669632592 2008-06-13 2009-03-11 3661 S MIAMI AVE, SUITE 708, MIAMI, FL, 331334236, US 3661 S MIAMI AVE, SUITE 708, MIAMI, FL, 331334236, US

Contacts
Phone +1 305-856-1002

Authorized person
Name JUAN C FLEITES
Role MEDICAL DOCTOR
Phone 3058561002

Taxonomy
Taxonomy Code 208600000X - Surgery Physician
License Number ME0070014
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSAL SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST 2017 261367706 2018-07-26 UNIVERSAL SURGICAL ASSOCIATES, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3058561002
Plan sponsor’s address 3181 CORAL WAY, SUITE 302, MIAMI, FL, 33145

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing JUAN C. FLEITES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-26
Name of individual signing JUAN C FLEITES
Valid signature Filed with authorized/valid electronic signature
UNIVERSAL SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST 2016 261367706 2017-07-18 UNIVERSAL SURGICAL ASSOCIATES, LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3058561002
Plan sponsor’s address 3181 CORAL WAY, SUITE 302, MIAMI, FL, 33145

Signature of
Role Plan administrator
Date 2017-07-18
Name of individual signing JUAN C. FLEITES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-18
Name of individual signing JUAN C. FLEITES
Valid signature Filed with authorized/valid electronic signature
UNIVERSAL SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST 2015 261367706 2016-10-10 UNIVERSAL SURGICAL ASSOCIATES, LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3058561002
Plan sponsor’s address 3661 SOUTH MIAMI AVENUE, SUITE 708, MIAMI, FL, 33133

Signature of
Role Plan administrator
Date 2016-10-10
Name of individual signing JUAN C. FLEITES
Valid signature Filed with authorized/valid electronic signature
UNIVERSAL SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST 2014 261367706 2015-10-15 UNIVERSAL SURGICAL ASSOCIATES, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3058561002
Plan sponsor’s address 3661 SOUTH MIAMI AVENUE, SUITE 708, MIAMI, FL, 33133

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing JUAN C. FLEITES
Valid signature Filed with authorized/valid electronic signature
UNIVERSAL SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST 2013 261367706 2014-10-14 UNIVERSAL SURGICAL ASSOCIATES, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3058589879
Plan sponsor’s address 3661 SOUTH MIAMI AVENUE, SUITE 708, MIAMI, FL, 33133

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing JUAN C. FLEITES
Valid signature Filed with authorized/valid electronic signature
UNIVERSAL SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN 2012 261367706 2014-10-31 UNIVERSAL SURGICAL ASSOCIATES, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3058589879
Plan sponsor’s address 3661 SOUTH MIAMI AVENUE, SUITE 708, MIAMI, FL, 33133

Signature of
Role Plan administrator
Date 2014-10-31
Name of individual signing JUAN C. FLEITES
Valid signature Filed with authorized/valid electronic signature
UNIVERSAL SURGICAL ASSOCIATES 401 (K) PROFIT SHARING PLAN & TRUST 2011 261367706 2013-10-23 UNIVERSAL SURGICAL ASSOCIATES, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3058561002
Plan sponsor’s DBA name UNIVERSAL SURGICAL ASSOCIATES, LLC
Plan sponsor’s address 3661 S. MIAMI AVENUE, SUITE 708, MIAMI, FL, 33133

Plan administrator’s name and address
Administrator’s EIN 261367706
Plan administrator’s name UNIVERSAL SURGICAL ASSOCIATES, LLC
Plan administrator’s address 3661 S. MIAMI AVENUE, SUITE 708, MIAMI, FL, 33133
Administrator’s telephone number 3058561002

Signature of
Role Plan administrator
Date 2013-10-23
Name of individual signing JOSEFA FERNANDEZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
FLEITES JUAN C Agent 3181 CORAL WAY,, MIAMI, FL, 33145

Managing Member

Name Role Address
FLEITES JUAN C Managing Member 3181 CORAL WAY,, MIAMI, FL, 33145

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2021-02-01 No data No data
REGISTERED AGENT ADDRESS CHANGED 2017-01-10 3181 CORAL WAY,, SUITE 302, MIAMI, FL 33145 No data
CHANGE OF PRINCIPAL ADDRESS 2016-07-20 3181 CORAL WAY,, SUITE 302, MIAMI, FL 33145 No data
CHANGE OF MAILING ADDRESS 2016-07-20 3181 CORAL WAY,, SUITE 302, MIAMI, FL 33145 No data
REINSTATEMENT 2012-01-30 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2021-02-01
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-01-20
ANNUAL REPORT 2014-01-10
ANNUAL REPORT 2013-01-29
ANNUAL REPORT 2012-05-07

Related by officers

FLEITES JUAN C

JC COMMUNICATION SERVICES INC 1 AMERICAN STEEL & LUMBER, CORP. DDI CONSTRUCTION, LLC MIRACLE LASER & SKIN CARE INSTITUTE, LLC. BAYSHORE BILLING SERVICES, LLC. JC COMMUNICATION SERVICES INC JCF HOLDINGS, LLC BAYSHORE SURGICAL ASSOCIATES, LLC JC FLEITES, MD, PA.

Related by address

3181 CORAL WAY,, MIAMI, FL, 33145, US

DDI ASSOCIATES, LLC PINECREST 98 HOLDINGS, LLC BAY SURGICAL GROUP, LLC. DDI CONSTRUCTION, LLC MIRACLE LASER & SKIN CARE INSTITUTE, LLC. BAYSHORE BILLING SERVICES, LLC. JCF SURGICENTER HOLDING, LLC JCF HOLDINGS, LLC BAYSHORE SURGICAL ASSOCIATES, LLC

3181 CORAL WAY,, MIAMI, FL, 33145, US

DDI ASSOCIATES, LLC PINECREST 98 HOLDINGS, LLC BAY SURGICAL GROUP, LLC. DDI CONSTRUCTION, LLC MIRACLE LASER & SKIN CARE INSTITUTE, LLC. BAYSHORE BILLING SERVICES, LLC. JCF SURGICENTER HOLDING, LLC JCF HOLDINGS, LLC BAYSHORE SURGICAL ASSOCIATES, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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