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  5. PALM BEACH FACIAL PLASTIC SURGERY, LLC

PALM BEACH FACIAL PLASTIC SURGERY, LLC

Company Details

Entity Name: PALM BEACH FACIAL PLASTIC SURGERY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 31 Oct 2008 (16 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 29 Jan 2021 (4 years ago)
Document Number: L08000102353
FEI/EIN Number 263663215
Address: 4280 PROFESSIONAL CENTER DRIVE, SUITE 310, PALM BEACH GARDENS, FL, 33410, US
Mail Address: 4280 PROFESSIONAL CENTER DRIVE, SUITE 310, PALM BEACH GARDENS, FL, 33410, US
ZIP code: 33410
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720484686 2014-11-05 2014-11-05 4280 PROFESSIONAL CENTER DR, STE 310, PALM BEACH GARDENS, FL, 334104280, US 4280 PROFESSIONAL CENTER DR, STE 310, PALM BEACH GARDENS, FL, 334104280, US

Contacts
Phone +1 561-659-9766

Authorized person
Name DR. MARK R MURPHY
Role OWNER
Phone 5616599766

Taxonomy
Taxonomy Code 207YX0905X - Otolaryngology/Facial Plastic Surgery Physician
License Number ME91139
State FL
Is Primary No
Taxonomy Code 2082S0099X - Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License Number ME91139
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PALM BEACH FACIAL PLASTIC SURGERY CASH BALANCE PLAN 2023 263663215 2024-10-08 PALM BEACH FACIAL PLASTIC SURGERY, LLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 5616599766
Plan sponsor’s address 4280 PROFESSIONAL CENTER DRIVE, SUITE 310, PALM BEACH GARDENS, FL, 33410
PALM BEACH FACIAL PLASTIC SURGERY CASH BALANCE PLAN 2023 263663215 2024-10-01 PALM BEACH FACIAL PLASTIC SURGERY, LLC 8
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 5616599766
Plan sponsor’s address 4280 PROFESSIONAL CENTER DRIVE, SUITE 310, PALM BEACH GARDENS, FL, 33410
PALM BEACH FACIAL PLASTIC SURGERY 401(K) PLAN 2023 263663215 2024-06-25 PALM BEACH FACIAL PLASTIC SURGERY, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5616599766
Plan sponsor’s address 4280 PROFESSIONAL CTR DR, STE 310, PALM BEACH GARDENS, FL, 33410
PALM BEACH FACIAL PLASTIC SURGERY 401(K) PLAN 2022 263663215 2023-07-11 PALM BEACH FACIAL PLASTIC SURGERY, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5616599766
Plan sponsor’s address 4280 PROFESSIONAL CTR DR, STE 310, PALM BEACH GARDENS, FL, 33410

Signature of
Role Plan administrator
Date 2023-07-11
Name of individual signing MARK MURPHY
Valid signature Filed with authorized/valid electronic signature
PALM BEACH FACIAL PLASTIC SURGERY CASH BALANCE PLAN 2022 263663215 2023-07-19 PALM BEACH FACIAL PLASTIC SURGERY, LLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 5616599766
Plan sponsor’s address 4280 PROFESSIONAL CENTER DRIVE, SUITE 310, PALM BEACH GARDENS, FL, 33410

Signature of
Role Plan administrator
Date 2023-07-19
Name of individual signing MARK MURPHY
Valid signature Filed with authorized/valid electronic signature
PALM BEACH FACIAL PLASTIC SURGERY CASH BALANCE PLAN 2021 263663215 2022-10-03 PALM BEACH FACIAL PLASTIC SURGERY, LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 5616599766
Plan sponsor’s address 4280 PROFESSIONAL CENTER DRIVE, SUITE 310, PALM BEACH GARDENS, FL, 33410

Signature of
Role Plan administrator
Date 2022-10-03
Name of individual signing MARK MURPHY
Valid signature Filed with authorized/valid electronic signature
PALM BEACH FACIAL PLASTIC SURGERY 401(K) PLAN 2021 263663215 2022-10-12 PALM BEACH FACIAL PLASTIC SURGERY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5616599766
Plan sponsor’s address 4280 PROFESSIONAL CTR DR, STE 310, PALM BEACH GARDENS, FL, 33410

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing MARK MURPHY
Valid signature Filed with authorized/valid electronic signature
PALM BEACH FACIAL PLASTIC SURGERY CASH BALANCE PLAN 2020 263663215 2021-10-11 PALM BEACH FACIAL PLASTIC SURGERY, LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 5616599766
Plan sponsor’s address 4280 PROFESSIONAL CENTER DRIVE, SUITE 310, PALM BEACH GARDENS, FL, 33410
PALM BEACH FACIAL PLASTIC SURGERY 401(K) PLAN 2020 263663215 2021-06-16 PALM BEACH FACIAL PLASTIC SURGERY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5616599766
Plan sponsor’s address 4280 PROFESSIONAL CTR DR, STE 310, PALM BEACH GARDENS, FL, 33410
PALM BEACH FACIAL PLASTIC SURGERY CASH BALANCE PLAN 2019 263663215 2020-10-14 PALM BEACH FACIAL PLASTIC SURGERY, LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 5616599766
Plan sponsor’s address 4280 PROFESSIONAL CENTER DRIVE, SUITE 310, PALM BEACH GARDENS, FL, 33410

Agent

Name Role Address
MURPHY MARK R Agent 4280 PROFESSIONAL CENTER DRIVE, PALM BEACH GARDENS, FL, 33410

Manager

Name Role Address
MURPHY MARK R Manager 4280 PROFESSIONAL CENTER DRIVE, STE 310, PALM BEACH GARDENS, FL, 33410

Events

Event Type Filed Date Value Description
REINSTATEMENT 2021-01-29 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
REINSTATEMENT 2019-11-07 No data No data
REGISTERED AGENT NAME CHANGED 2019-11-07 MURPHY, MARK R No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
CHANGE OF MAILING ADDRESS 2015-04-22 4280 PROFESSIONAL CENTER DRIVE, SUITE 310, PALM BEACH GARDENS, FL 33410 No data
REGISTERED AGENT ADDRESS CHANGED 2014-11-07 4280 PROFESSIONAL CENTER DRIVE, SUITE 310, PALM BEACH GARDENS, FL 33410 No data
LC AMENDMENT 2014-11-07 No data No data
CHANGE OF PRINCIPAL ADDRESS 2011-01-10 4280 PROFESSIONAL CENTER DRIVE, SUITE 310, PALM BEACH GARDENS, FL 33410 No data

Documents

Name Date
ANNUAL REPORT 2025-01-13
ANNUAL REPORT 2024-01-22
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-01-24
REINSTATEMENT 2021-01-29
REINSTATEMENT 2019-11-07
ANNUAL REPORT 2018-03-22
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-03-09
ANNUAL REPORT 2015-04-22

Related by officers

MURPHY MARK R

MARK LASER LEASING, LLC MURPHY'S MATERIALS, LLC MARK LASER LEASING L.L.C.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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