| Entity Name: | RIVERSIDE SURGICAL AND WEIGHT LOSS CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 29 Dec 2008 (16 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L08000117101 |
| FEI/EIN Number | 20-5300661 |
| Address: | 14430 US HWY 1, STE 101, SEBASTIAN, FL, 32958 |
| Mail Address: | 14430 US HWY 1, STE 101, SEBASTIAN, FL, 32958 |
| ZIP code: | 32958 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437397544 | 2009-01-27 | 2009-05-07 | 705 SEBASTIAN BLVD., SUITE D, SEBASTIAN, FL, 32958, US | 705 SEBASTIAN BLVD, SUITE D, SEBASTIAN, FL, 329584397, US | |||||||||||||||||||
|
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| Phone | +1 772-581-8003 |
| Fax | 7725818005 |
Authorized person
| Name | DR. PATRICK W DOMKOWSKI |
| Role | PRESIDENT |
| Phone | 7725818003 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| License Number | MD89469 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SEBASTIAN HMA PHYSICIANS MANAGEMENT LLC | Agent | 14430 US HIGHWAY 1, STE 101, SEBASTIAN, FL, 32958 |
| Name | Role | Address |
|---|---|---|
| Sebastian HMA Physicians Managment | Manager | 13837 U.S. HIGHWAY 1, SEBASTIAN, FL, 32958 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-12-09 | 14430 US HIGHWAY 1, STE 101, SEBASTIAN, FL 32958 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-11-04 | 14430 US HWY 1, STE 101, SEBASTIAN, FL 32958 | No data |
| CHANGE OF MAILING ADDRESS | 2013-11-04 | 14430 US HWY 1, STE 101, SEBASTIAN, FL 32958 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-08-12 | SEBASTIAN HMA PHYSICIANS MANAGEMENT LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-01-04 |
| ANNUAL REPORT | 2015-01-13 |
| ANNUAL REPORT | 2014-01-10 |
| AMENDED ANNUAL REPORT | 2013-08-12 |
| Reg. Agent Change | 2013-08-12 |
| ANNUAL REPORT | 2013-04-12 |
| ANNUAL REPORT | 2012-04-07 |
| ANNUAL REPORT | 2011-04-04 |
| ANNUAL REPORT | 2010-04-22 |
| ANNUAL REPORT | 2009-04-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
