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  5. SURIA PLASTIC SURGERY P.L.

SURIA PLASTIC SURGERY P.L.

Company Details

Entity Name: SURIA PLASTIC SURGERY P.L.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Apr 2010 (15 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 06 Oct 2011 (13 years ago)
Document Number: L10000041576
FEI/EIN Number 272404175
Address: 2235 NORTH COMMERCE PKWY, STE 2, WESTON, FL, 33326, US
Mail Address: 3475 MEADOWBROOK WAY, DAVIE, FL, 33328, US
ZIP code: 33326
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720396096 2010-09-20 2010-09-20 8430 W BROWARD BLVD, SUITE 200, PLANTATION, FL, 333242700, US 8430 W BROWARD BLVD, SUITE 200, PLANTATION, FL, 333242700, US

Contacts
Phone +1 954-472-8355
Fax 9544728220

Authorized person
Name DR. SHASHIDHAR KUSUMA
Role PRESIDENT
Phone 9544728355

Taxonomy
Taxonomy Code 207Y00000X - Otolaryngology Physician
Is Primary No
Taxonomy Code 208200000X - Plastic Surgery Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SURIA PLASTIC SURGERY, P.L. 401(K) PROFIT SHARING PLAN 2018 272404175 2019-08-20 SURIA PLASTIC SURGERY, P.L. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9544728355
Plan sponsor’s address 205 SW 84TH AVENUE, PLANTATION, FL, 33324

Signature of
Role Plan administrator
Date 2019-08-20
Name of individual signing SHASHIDHAR KUSUMA
Valid signature Filed with authorized/valid electronic signature
SURIA PLASTIC SURGERY, P.L. 401(K) PROFIT SHARING PLAN 2017 272404175 2018-06-20 SURIA PLASTIC SURGERY, P.L. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9544728355
Plan sponsor’s address 205 SW 84TH AVENUE, PLANTATION, FL, 33324

Signature of
Role Plan administrator
Date 2018-06-20
Name of individual signing SHASHIDHAR KUSUMA
Valid signature Filed with authorized/valid electronic signature
SURIA PLASTIC SURGERY, P.L. 401(K) PROFIT SHARING PLAN 2016 272404175 2017-06-21 SURIA PLASTIC SURGERY, P.L. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9544728355
Plan sponsor’s address 205 SW 84TH AVENUE, PLANTATION, FL, 33324

Signature of
Role Plan administrator
Date 2017-06-21
Name of individual signing SHASHIDHAR KUSUMA
Valid signature Filed with authorized/valid electronic signature
SURIA PLASTIC SURGERY, P.L. 401(K) PROFIT SHARING PLAN 2015 272404175 2016-10-14 SURIA PLASTIC SURGERY, P.L. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9544728355
Plan sponsor’s address 205 SW 84TH AVENUE, PLANTATION, FL, 33324

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing SHASHIDHAR KUSUMA
Valid signature Filed with authorized/valid electronic signature
SURIA PLASTIC SURGERY, P.L. 401(K) PROFIT SHARING PLAN 2014 272404175 2015-10-12 SURIA PLASTIC SURGERY, P.L. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9544728355
Plan sponsor’s address 205 SW 84TH AVENUE, PLANTATION, FL, 33324

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing SHASHIDHAR KUSUMA
Valid signature Filed with authorized/valid electronic signature
SURIA PLASTIC SURGERY, P.L. 401(K) PROFIT SHARING PLAN 2013 272404175 2014-10-10 SURIA PLASTIC SURGERY, P.L. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9544728355
Plan sponsor’s address 8430 W. BROWARD BLVD., SUITE 200, PLANTATION, FL, 33324

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing SHASHIDHAR KUSUMA
Valid signature Filed with authorized/valid electronic signature
SURIA PLASTIC SURGERY, P.L. 401(K) PROFIT SHARING PLAN 2012 272404175 2014-07-24 SURIA PLASTIC SURGERY, P.L. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9544728355
Plan sponsor’s address 8430 W. BROWARD BLVD., SUITE 200, PLANTATION, FL, 33324

Signature of
Role Plan administrator
Date 2014-07-24
Name of individual signing SHASHIDHAR KUSUMA
Valid signature Filed with authorized/valid electronic signature
SURIA PLASTIC SURGERY, P.L. 401(K) PROFIT SHARING PLAN 2012 272404175 2013-03-21 SURIA PLASTIC SURGERY, P.L. 6
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9544728355
Plan sponsor’s address 8430 W. BROWARD BLVD., SUITE 200, PLANTATION, FL, 33324

Plan administrator’s name and address
Administrator’s EIN 272404175
Plan administrator’s name SURIA PLASTIC SURGERY, P.L.
Plan administrator’s address 8430 W. BROWARD BLVD., SUITE 200, PLANTATION, FL, 33324
Administrator’s telephone number 9544728355

Signature of
Role Plan administrator
Date 2013-03-21
Name of individual signing SHASHIDHAR KUSUMA
Valid signature Filed with authorized/valid electronic signature
SURIA PLASTIC SURGERY, P.L. 401(K) PROFIT SHARING PLAN 2011 272404175 2012-10-08 SURIA PLASTIC SURGERY, P.L. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9544728355
Plan sponsor’s address 8430 W. BROWARD BLVD., SUITE 200, PLANTATION, FL, 33324

Plan administrator’s name and address
Administrator’s EIN 272404175
Plan administrator’s name SURIA PLASTIC SURGERY, P.L.
Plan administrator’s address 8430 W. BROWARD BLVD., SUITE 200, PLANTATION, FL, 33324
Administrator’s telephone number 9544728355

Signature of
Role Plan administrator
Date 2012-10-08
Name of individual signing SHASHIDHAR KUSUMA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KUSUMA SHASHIDHAR M Agent 2235 NORTH COMMERCE PKWY, STE 2, WESTON, FL, 33326

Managing Member

Name Role Address
KUSUMA SHASHIDHAR M Managing Member 2235 NORTH COMMERCE PKWY, STE 2, WESTON, FL, 33326

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000041196 SURIA COSMETIC SURGERY AND MEDSPA ACTIVE 2022-03-31 2027-12-31 No data 2235 NORTH COMMERCE PARKWAY, SUITE 2, WESTON, FL, 33326

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-16 2235 NORTH COMMERCE PKWY, STE 2, WESTON, FL 33326 No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-16 2235 NORTH COMMERCE PKWY, STE 2, WESTON, FL 33326 No data
CHANGE OF MAILING ADDRESS 2022-05-12 2235 NORTH COMMERCE PKWY, STE 2, WESTON, FL 33326 No data
REINSTATEMENT 2011-10-06 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-16
ANNUAL REPORT 2023-02-23
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-03-27
ANNUAL REPORT 2020-06-08
ANNUAL REPORT 2019-04-08
ANNUAL REPORT 2018-06-27
ANNUAL REPORT 2017-02-13
ANNUAL REPORT 2016-03-09
ANNUAL REPORT 2015-02-23

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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