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  5. GARY SAFF PLLC

GARY SAFF PLLC

Company Details

Entity Name: GARY SAFF PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 Jul 2009 (16 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 11 Oct 2010 (14 years ago)
Document Number: L09000067476
FEI/EIN Number 27-0528710
Mail Address: 5353 N Federal Highway, Fort Lauderdale, FL, 33308, US
Address: 5353 N Federal Highway, Suite 301, FT. LAUDERDALE, FL, 33308, US
ZIP code: 33308
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497080790 2009-10-05 2009-10-05 2320 NE 62ND ST, FT LAUDERDALE, FL, 333082208, US 2320 NE 62ND ST, FT LAUDERDALE, FL, 333082208, US

Contacts
Phone +1 954-772-7552
Fax 9547723994

Authorized person
Name GARY SAFF
Role OWNER
Phone 9542886605

Taxonomy
Taxonomy Code 207LP2900X - Pain Medicine (Anesthesiology) Physician
License Number ME0058781
State FL
Is Primary Yes

Other Provider Identifiers
Issuer FLORIDA MEDICAL LICENSE NUMBER
Number ME0058781
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GARY SAFF PLLC PROFIT SHARING PLAN & TRUST 2023 270528710 2024-10-04 GARY SAFF PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9547727552
Plan sponsor’s address 2905 WINDMILL RANCH ROAD, WESTON, FL, 33331

Signature of
Role Plan administrator
Date 2024-10-03
Name of individual signing GARY SAFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-03
Name of individual signing GARY SAFF
Valid signature Filed with authorized/valid electronic signature
GARY SAFF PLLC PROFIT SHARING PLAN & TRUST 2022 270528710 2023-09-22 GARY SAFF PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9547727552
Plan sponsor’s address 2905 WINDMILL RANCH ROAD, WESTON, FL, 33331

Signature of
Role Plan administrator
Date 2023-09-22
Name of individual signing GARY SAFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-22
Name of individual signing GARY SAFF
Valid signature Filed with authorized/valid electronic signature
GARY SAFF PLLC PROFIT SHARING PLAN & TRUST 2021 270528710 2022-09-30 GARY SAFF PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9547727552
Plan sponsor’s address 2905 WINDMILL RANCH ROAD, WESTON, FL, 33331

Signature of
Role Plan administrator
Date 2022-09-30
Name of individual signing GARY SAFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-30
Name of individual signing GARY SAFF
Valid signature Filed with authorized/valid electronic signature
GARY SAFF PLLC PROFIT SHARING PLAN & TRUST 2020 270528710 2021-09-28 GARY SAFF PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9547727552
Plan sponsor’s address 2905 WINDMILL RANCH ROAD, WESTON, FL, 33331

Signature of
Role Plan administrator
Date 2021-09-28
Name of individual signing GARY SAFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-28
Name of individual signing GARY SAFF
Valid signature Filed with authorized/valid electronic signature
GARY SAFF PLLC PROFIT SHARING PLAN & TRUST 2019 270528710 2020-09-25 GARY SAFF PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9547727552
Plan sponsor’s address 2905 WINDMILL RANCH ROAD, WESTON, FL, 33331

Signature of
Role Plan administrator
Date 2020-09-25
Name of individual signing GARY SAFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-25
Name of individual signing GARY SAFF
Valid signature Filed with authorized/valid electronic signature
GARY SAFF PLLC PROFIT SHARING PLAN & TRUST 2018 270528710 2019-09-27 GARY SAFF PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9547727552
Plan sponsor’s address 2905 WINDMILL RANCH ROAD, WESTON, FL, 33331

Signature of
Role Plan administrator
Date 2019-09-27
Name of individual signing GARY SAFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-27
Name of individual signing GARY SAFF
Valid signature Filed with authorized/valid electronic signature
GARY SAFF PLLC PROFIT SHARING PLAN & TRUST 2017 270528710 2018-10-05 GARY SAFF PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9547727552
Plan sponsor’s address 2905 WINDMILL RANCH ROAD, WESTON, FL, 33331

Signature of
Role Plan administrator
Date 2018-10-05
Name of individual signing GARY SAFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-05
Name of individual signing GARY SAFF
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SAFF GARY Agent 2905 WINDMILL RANCH ROAD, WESTON, FL, 33331

Managing Member

Name Role Address
SAFF GARY Managing Member 2905 WINDMILL RANCH ROAD, WESTON, FL, 33331

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09000141894 INTEGRATED PAIN SOLUTIONS OF SOUTH FLORIDA EXPIRED 2009-08-04 2024-12-31 No data 5353 N FEDERAL HIGHWAY, SUITE 301, FORT LAUDERDALE, FL, 33308

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2016-03-08 5353 N Federal Highway, Suite 301, FT. LAUDERDALE, FL 33308 No data
CHANGE OF PRINCIPAL ADDRESS 2015-01-13 5353 N Federal Highway, Suite 301, FT. LAUDERDALE, FL 33308 No data
REINSTATEMENT 2010-10-11 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-22
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-02-09
ANNUAL REPORT 2021-01-31
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-01-28
ANNUAL REPORT 2018-01-19
ANNUAL REPORT 2017-01-17
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-01-13

Related by officers

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TWIN DREY, LLC RUBI PAINTING SERVICES INC REAL DREY, LLC

Related by address

5353 N Federal Highway, Fort Lauderdale, FL, 33308, US

JOCAR, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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