| Entity Name: | GENERAL SURGERY OF PALM BEACH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
GENERAL SURGERY OF PALM BEACH, 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: | 18 Mar 2009 (16 years ago) |
| Date of dissolution: | 05 Sep 2014 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR REGISTERED AGENT |
| Event Date Filed: | 05 Sep 2014 (11 years ago) |
| Document Number: | L09000026814 |
| FEI/EIN Number |
320278341
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3319 STATE ROAD 7, 207, WELLINGTON, FL, 33449 |
| Mail Address: | 3319 STATE ROAD 7, 207, WELLINGTON, FL, 33449 |
| ZIP code: | 33449 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104067222 | 2009-03-19 | 2012-08-06 | 11101 S CROWN WAY, SUITE 1, WELLINGTON, FL, 334148792, US | 3319 STATE ROAD 7, SUITE 207, WELLINGTON, FL, 334498094, US | |||||||||||||||||||||||||||||||
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| Phone | +1 561-795-9150 |
| Fax | 5617987700 |
| Phone | +1 561-753-1101 |
| Fax | 5617531105 |
Authorized person
| Name | DR. DAMARYS PEREZ |
| Role | OWNER |
| Phone | 5617531101 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003935000 |
| State | FL |
| Issuer | BCBSFL |
| Number | 0027V |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ADEN DARMAAN | Agent | 3319 STATE ROAD 7, SUITE 207, WELLINGTON, FL, 33449 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000073057 | PALM BEACH MEDICAL GROUP | EXPIRED | 2012-07-23 | 2017-12-31 | - | 3319 SOUTH STATE ROAD 7, SUITE 207, WELLINGTON, FL, 33449 |
| G11000045625 | CLINICA VIDA | EXPIRED | 2011-05-12 | 2016-12-31 | - | 10131 FOREST HILL BLVD., SUITE 203, WELLINGTON, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR REGISTERED AGENT | 2014-09-05 | - | - |
| LC DISSOCIATION MEM | 2014-04-24 | - | - |
| LC AMENDMENT | 2013-11-08 | - | - |
| LC AMENDMENT | 2012-06-11 | - | - |
| CHANGE OF MAILING ADDRESS | 2011-12-21 | 3319 STATE ROAD 7, 207, WELLINGTON, FL 33449 | - |
| REINSTATEMENT | 2011-12-21 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-12-21 | 3319 STATE ROAD 7, 207, WELLINGTON, FL 33449 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| LC AMENDMENT | 2011-06-16 | - | - |
| REINSTATEMENT | 2010-10-10 | - | - |
| Name | Date |
|---|---|
| Admin. Diss. for Reg. Agent | 2014-09-05 |
| CORLCDSMEM | 2014-04-24 |
| Reg. Agent Resignation | 2014-04-24 |
| LC Amendment | 2013-11-08 |
| CORLCMMRES | 2013-10-17 |
| ANNUAL REPORT | 2013-04-23 |
| ANNUAL REPORT | 2012-09-04 |
| CORLCMMRES | 2012-06-11 |
| Reg. Agent Resignation | 2012-06-11 |
| LC Amendment | 2012-06-11 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
