| Entity Name: | EXTENDCARE PHYSICIAN SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
EXTENDCARE PHYSICIAN SERVICES, 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. |
| 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: | 11 Feb 2008 (17 years ago) |
| Date of dissolution: | 27 Sep 2013 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (12 years ago) |
| Document Number: | L08000014842 |
| FEI/EIN Number |
261972563
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 154 LOOKOUT POINT DRIVE, OSPREY, FL, 34229 |
| Mail Address: | 154 LOOKOUT POINT DRIVE, OSPREY, FL, 34229 |
| ZIP code: | 34229 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831360593 | 2008-03-20 | 2008-11-24 | PO BOX 511805, PUNTA GORDA, FL, 339511805, US | 700 MEDICAL BLVD, ENGLEWOOD, FL, 342233964, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 941-923-5861 |
Authorized person
| Name | DR. CLAUDE J MASON |
| Role | PHYSICIAN |
| Phone | 9419235861 |
Taxonomy
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| License Number | ME79271 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000287700 |
| State | FL |
| Issuer | RAILROAD MEDICARE PTAN |
| Number | DN3536 |
| State | FL |
| Issuer | BCBS |
| Number | 33085 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MASON C. JOHN M | Managing Member | 154 LOOKOUT POINT DRIVE, OSPREY, FL, 34229 |
| COOPER FRANCES GRACE E | Agent | 154 LOOKOUT POINT DRIVE, SARASOTA, FL, 34229 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08102700078 | INPATIENT MEDICAL SPECIALISTS | EXPIRED | 2008-04-11 | 2013-12-31 | - | 154 LOOKOUT POINT DRIVE, OSPREY, FL, 34229 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-16 | 154 LOOKOUT POINT DRIVE, SARASOTA, FL 34229 | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J15000966461 | INACTIVE WITH A SECOND NOTICE FILED | 2015 CA 003313 NC | 12TH JUD CIR. SARASOTA CO. | 2015-10-14 | 2020-11-02 | $80,424.63 | ENGLEWOOD COMMUNITY HOSPITAL, INC. D/B/A, ENGLEWOOD COMMUNITY HOSPITAL, 700 MEDICAL BLVD, ENGLEWOOD, FLORIDA 34223 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-27 |
| ANNUAL REPORT | 2011-02-16 |
| ANNUAL REPORT | 2010-01-05 |
| ANNUAL REPORT | 2009-01-23 |
| Florida Limited Liability | 2008-02-11 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
