| Entity Name: | SOUTH FLORIDA MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 13 May 2009 (16 years ago) |
| Date of dissolution: | 20 Mar 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Mar 2020 (5 years ago) |
| Document Number: | L09000046501 |
| FEI/EIN Number | 270186002 |
| Address: | 2270 Colonial Blvd., Fort Myers, FL, 33907, US |
| Mail Address: | 2270 Colonial Blvd., Fort Myers, FL, 33907, US |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043618762 | 2014-12-11 | 2014-12-11 | 3343 STATE ROAD 7, WELLINGTON, FL, 334498002, US | 431 UNIVERSITY BLVD, JUPITER, FL, 334583103, US | |||||||||||||||
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| Phone | +1 561-748-2488 |
| Fax | 5617482468 |
Authorized person
| Name | RAJIV PATEL |
| Role | MANAGING DIRECTOR |
| Phone | 5617959845 |
Taxonomy
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTH FLORIDA MEDICINE 401(K) PROFIT SHARING PLAN AND TRUST | 2011 | 270186002 | 2012-10-15 | SOUTH FLORIDA MEDICINE | 89 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 270186002 |
| Plan administrator’s name | SOUTH FLORIDA MEDICINE |
| Plan administrator’s address | 3343 STATE ROAD 7, WELLINGTON, FL, 33449 |
| Administrator’s telephone number | 5617958791 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-15 |
| Name of individual signing | RAVI PATEL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-05-12 |
| Business code | 621111 |
| Sponsor’s telephone number | 5617959845 |
| Plan sponsor’s address | 3343 STATE RD 7, WELLINGTON, FL, 33449 |
Plan administrator’s name and address
| Administrator’s EIN | 270186002 |
| Plan administrator’s name | SOUTH FLORIDA MEDICINE |
| Plan administrator’s address | 3343 STATE RD 7, WELLINGTON, FL, 33449 |
| Administrator’s telephone number | 5617959845 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-15 |
| Name of individual signing | SOUTH FLORIDA MEDICINE |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-05-12 |
| Business code | 621111 |
| Sponsor’s telephone number | 5617959845 |
| Plan sponsor’s address | 3343 STATE RD 7, WELLINGTON, FL, 33449 |
Plan administrator’s name and address
| Administrator’s EIN | 270186002 |
| Plan administrator’s name | SOUTH FLORIDA MEDICINE |
| Plan administrator’s address | 3343 STATE RD 7, WELLINGTON, FL, 33449 |
| Administrator’s telephone number | 5617959845 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-15 |
| Name of individual signing | SOUTH FLORIDA MEDICINE |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| 21ST CENTURY ONCOLOGY, LLC | Manager | 2270 COLONIAL BOULEVARD, FORT MYERS, FL, 33907 |
| Name | Role | Address |
|---|---|---|
| Howard Blake | Authorized Person | 2270 Colonial Blvd., Fort Myers, FL, 33907 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000114242 | SFM SURGERY XIV | EXPIRED | 2015-11-10 | 2020-12-31 | No data | 2270 COLONIAL BLVD, FT. MYERS, FL, 33907 |
| G15000071051 | RAUCH UROLOGY | EXPIRED | 2015-07-08 | 2020-12-31 | No data | 3343 STATE ROAD 7, WELLINGTON, FL, 33449 |
| G15000070004 | SFM UROLOGY 30 LLC | EXPIRED | 2015-07-06 | 2020-12-31 | No data | 3343 STATE ROAD 7, WELLINGTON, FL, 33449 |
| G14000115455 | INDIAN RIVER UROLOGY ASSOCIATES | EXPIRED | 2014-11-17 | 2019-12-31 | No data | 3319 STATE RD 7 #302, WELLINGTON, FL, 33449 |
| G14000096693 | SFM UROLOGY XXIX LLC | EXPIRED | 2014-09-22 | 2019-12-31 | No data | 3319 STATE RD 7 #302, WELLINGTON, FL, 3449 |
| G14000083365 | SFM SURGERY XV LLC | EXPIRED | 2014-08-13 | 2019-12-31 | No data | 3319 STATE RD 7 SUITE 302, WELLINGTON, FL, 33449 |
| G14000009582 | SFM RADIATION VII, LLC | EXPIRED | 2014-01-28 | 2019-12-31 | No data | 3343 STATE ROAD 7, WELLINGTON, FL, 33449 |
| G14000009562 | SFM RADIATION II, LLC | EXPIRED | 2014-01-28 | 2019-12-31 | No data | 3343 STATE ROAD 7, WELLINGTON, FL, 33449 |
| G14000009583 | SFM RADIATION VIII, LLC | EXPIRED | 2014-01-28 | 2019-12-31 | No data | 3343 STATE ROAD 7, WELLINGTON, FL, 33449 |
| G14000009544 | SFM SURGERY X, LLC | EXPIRED | 2014-01-28 | 2019-12-31 | No data | 3343 STATE ROAD 7, WELLINGTON, FL, 33449 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-03-20 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-10-05 | 2270 Colonial Blvd., Fort Myers, FL 33907 | No data |
| CHANGE OF MAILING ADDRESS | 2015-10-05 | 2270 Colonial Blvd., Fort Myers, FL 33907 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-10-02 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-10-02 | CORPORATION SERVICE COMPANY | No data |
| LC STMNT OF RA/RO CHG | 2014-10-02 | No data | No data |
| LC AMENDMENT | 2010-07-27 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-03-20 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-20 |
| AMENDED ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-04-25 |
| AMENDED ANNUAL REPORT | 2015-10-05 |
| ANNUAL REPORT | 2015-01-19 |
| CORLCRACHG | 2014-10-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
