| Entity Name: | SOUTH FLORIDA MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SOUTH FLORIDA MEDICINE, 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: | 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
Federal Employer Identification (FEI) Number assigned by the IRS. |
| 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 | |||||||||||||||
|
|||||||||||||||||||
| 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 | |||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
| 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 | Address |
|---|---|---|
| 21ST CENTURY ONCOLOGY, LLC | Manager | 2270 COLONIAL BOULEVARD, FORT MYERS, FL, 33907 |
| Howard Blake | Authorized Person | 2270 Colonial Blvd., Fort Myers, FL, 33907 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000114242 | SFM SURGERY XIV | EXPIRED | 2015-11-10 | 2020-12-31 | - | 2270 COLONIAL BLVD, FT. MYERS, FL, 33907 |
| G15000071051 | RAUCH UROLOGY | EXPIRED | 2015-07-08 | 2020-12-31 | - | 3343 STATE ROAD 7, WELLINGTON, FL, 33449 |
| G15000070004 | SFM UROLOGY 30 LLC | EXPIRED | 2015-07-06 | 2020-12-31 | - | 3343 STATE ROAD 7, WELLINGTON, FL, 33449 |
| G14000115455 | INDIAN RIVER UROLOGY ASSOCIATES | EXPIRED | 2014-11-17 | 2019-12-31 | - | 3319 STATE RD 7 #302, WELLINGTON, FL, 33449 |
| G14000096693 | SFM UROLOGY XXIX LLC | EXPIRED | 2014-09-22 | 2019-12-31 | - | 3319 STATE RD 7 #302, WELLINGTON, FL, 3449 |
| G14000083365 | SFM SURGERY XV LLC | EXPIRED | 2014-08-13 | 2019-12-31 | - | 3319 STATE RD 7 SUITE 302, WELLINGTON, FL, 33449 |
| G14000009582 | SFM RADIATION VII, LLC | EXPIRED | 2014-01-28 | 2019-12-31 | - | 3343 STATE ROAD 7, WELLINGTON, FL, 33449 |
| G14000009562 | SFM RADIATION II, LLC | EXPIRED | 2014-01-28 | 2019-12-31 | - | 3343 STATE ROAD 7, WELLINGTON, FL, 33449 |
| G14000009583 | SFM RADIATION VIII, LLC | EXPIRED | 2014-01-28 | 2019-12-31 | - | 3343 STATE ROAD 7, WELLINGTON, FL, 33449 |
| G14000009544 | SFM SURGERY X, LLC | EXPIRED | 2014-01-28 | 2019-12-31 | - | 3343 STATE ROAD 7, WELLINGTON, FL, 33449 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-03-20 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-10-05 | 2270 Colonial Blvd., Fort Myers, FL 33907 | - |
| CHANGE OF MAILING ADDRESS | 2015-10-05 | 2270 Colonial Blvd., Fort Myers, FL 33907 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-10-02 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | - |
| REGISTERED AGENT NAME CHANGED | 2014-10-02 | CORPORATION SERVICE COMPANY | - |
| LC STMNT OF RA/RO CHG | 2014-10-02 | - | - |
| LC AMENDMENT | 2010-07-27 | - | - |
| 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 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 339607210 | 0418800 | 2014-03-03 | 1601 CLINT MOORE RD. SUITE 195, BOCA RATON, FL, 33487 | |||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||
| Type | Complaint |
| Activity Nr | 873699 |
| Health | Yes |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Other |
| Standard Cited | 19101030 C01 V |
| Issuance Date | 2014-03-14 |
| Abatement Due Date | 2014-04-30 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2014-04-11 |
| Nr Instances | 1 |
| Nr Exposed | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1030(c)(1)(v): The employer, who is required to establish an Exposure Control Plan, did not solicit input from non-managerial employees responsible for direct patient care who are potentially exposed to injuries from contaminated sharps in the identification, evaluation and selection of effective engineering and work practice controls and did not document the solicitation in the Exposure Control plan: On or about 3/3/2014, at the above address jobsite, the employer did not request and document the required input from employees exposed to bloodborne pathogens. |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
