| Entity Name: | SUNSHINE PHYSICIAN ASSOCIATES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Aug 2008 (16 years ago) |
| Last Event: | LC ARTICLE OF CORRECTION/NAME CHANGE |
| Event Date Filed: | 05 Sep 2008 (16 years ago) |
| Document Number: | L08000082465 |
| FEI/EIN Number | 26-3276749 |
| Address: | 14201 Reflection Lakes Dr, FORT MYERS, FL 33907 |
| Mail Address: | 14201 Reflection Lakes Dr, FORT MYERS, FL 33907 |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760627566 | 2008-12-08 | 2013-02-25 | 4755 SUMMERLIN RD, STE 8, FORT MYERS, FL, 339191073, US | 4755 SUMMERLIN RD, # 8, FORT MYERS, FL, 339191073, US | |||||||||||||||||||||||||||
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| Phone | +1 239-565-3010 |
| Fax | 2392755592 |
| Phone | +1 239-275-5339 |
Authorized person
| Name | MIGDALIA VALENTIN |
| Role | OFFICE MANAGER |
| Phone | 2392755339 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME 92513 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FLORIDA MEDICAL LICENSE |
| Number | ME 92513 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HASSAN, HESHAM | Agent | 14201 REFLECTION LAKES DR, FORT MYERS, FL 33907 |
| Name | Role | Address |
|---|---|---|
| HASSAN, HESHAM | Managing Member | 14201 REFLECTION LAKES DR, FORT MYERS, FL 33907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-30 | 14201 Reflection Lakes Dr, FORT MYERS, FL 33907 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-30 | 14201 Reflection Lakes Dr, FORT MYERS, FL 33907 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-06 | 14201 REFLECTION LAKES DR, FORT MYERS, FL 33907 | No data |
| LC ARTICLE OF CORR- ECTION/NAME CHANGE | 2008-09-05 | SUNSHINE PHYSICIAN ASSOCIATES LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-08-31 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-05-01 |
Date of last update: 24 Feb 2025
Sources: Florida Department of State
