| Entity Name: | SFM SURGERY II, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 22 Oct 2010 (14 years ago) |
| Date of dissolution: | 26 Apr 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 26 Apr 2016 (9 years ago) |
| Document Number: | L10000110950 |
| FEI/EIN Number | 273830872 |
| Address: | 2270 Colonial Boulevard, Fort Myers, FL, 33907, US |
| Mail Address: | 2270 Colonial Boulevard, 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 | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164813242 | 2015-02-11 | 2015-02-11 | 3343 STATE ROAD 7, WELLINGTON, FL, 334498002, US | 12160 S SHORE BLVD, SUITE 103, WELLINGTON, FL, 334146504, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 561-795-9845 |
| Fax | 5617918742 |
| Phone | +1 561-798-7494 |
| Fax | 5617461162 |
Authorized person
| Name | RAVI PATEL |
| Role | MANAGING DIRECTOR |
| Phone | 5617959845 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| License Number | ME78137 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008584100 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| SOUTH FLORIDA MEDICINE, LLC | Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000029349 | WOMEN'S BREAST CARE CENTER | EXPIRED | 2011-03-23 | 2016-12-31 | No data | 3319 S.STATE RD 7, SUITE 105, WELLINGTON, FL, 33449 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-04-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-21 | 2270 Colonial Boulevard, Fort Myers, FL 33907 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-21 | 2270 Colonial Boulevard, Fort Myers, FL 33907 | No data |
| LC STMNT OF RA/RO CHG | 2014-10-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-10-02 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-10-02 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2016-04-26 |
| ANNUAL REPORT | 2015-04-21 |
| CORLCRACHG | 2014-10-02 |
| ANNUAL REPORT | 2014-02-11 |
| ANNUAL REPORT | 2013-01-08 |
| ANNUAL REPORT | 2012-01-07 |
| ANNUAL REPORT | 2011-01-25 |
| Florida Limited Liability | 2010-10-22 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
