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JUSTIN ROSS WASSERMAN MD PL

Company Details

Entity Name: JUSTIN ROSS WASSERMAN MD PL
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 16 Dec 2010 (14 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 20 Feb 2024 (a year ago)
Document Number: L10000128744
FEI/EIN Number 27-4283950
Address: 1111 AVENIDA DEL CIRCO, VENICE, FL 34285
Mail Address: 1111 AVENIDA DEL CIRCO, VENICE, FL 34285
ZIP code: 34285
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891098612 2010-12-16 2010-12-16 1111 AVENIDA DEL CIRCO, VENICE, FL, 342854108, US 1111 AVENIDA DEL CIRCO, VENICE, FL, 342854108, US

Contacts

Phone +1 941-484-8222
Fax 9414863016

Authorized person

Name DR. JUSTIN ROSS WASSERMAN
Role PRESIDENT
Phone 9414848222

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
License Number ME106806
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WASSERMAN MD 401(K) PLAN 2023 274283395 2024-09-12 JUSTIN ROSS WASSERMAN, MD. PL 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9415440202
Plan sponsor’s address 1111 AVENIDA DEL CIRCO, VENICE, FL, 34285
WASSERMAN MD 401(K) PLAN 2022 274283395 2023-09-11 JUSTIN ROSS WASSERMAN, MD. PL 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9415440202
Plan sponsor’s address 1111 AVENIDA DEL CIRCO, VENICE, FL, 34284
WASSERMAN MD 401(K) PLAN 2021 274283395 2022-10-17 JUSTIN ROSS WASSERMAN, MD. PL 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9414861900
Plan sponsor’s address 1111 AVENIDA DEL CIRCO, VENICE, FL, 34285
WASSERMAN MD 401(K) PLAN 2020 274283395 2021-10-15 JUSTIN ROSS WASSERMAN, MD. PL 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9414861900
Plan sponsor’s address 1111 AVENIDA DEL CIRCO, VENICE, FL, 34285
WASSERMAN MD 401(K) PLAN 2019 274283395 2020-10-14 JUSTIN ROSS WASSERMAN, MD. PL 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9414861900
Plan sponsor’s address 1111 AVENIDA DEL CIRCO, VENICE, FL, 34285
WASSERMAN MD 401(K) PLAN 2018 274283395 2019-08-23 JUSTIN ROSS WASSERMAN, MD. PL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9414861900
Plan sponsor’s address 1111 AVENIDA DEL CIRCO, VENICE, FL, 34285
WASSERMAN MD 401(K) PLAN 2017 274283395 2018-10-15 JUSTIN ROSS WASSERMAN, MD. PL 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9414861900
Plan sponsor’s address 1111 AVENIDA DEL CIRCO, VENICE, FL, 34285

Agent

Name Role Address
TREADWAY FENTON, PL Agent 1111 AVENIDA DEL CIRCO, VENICE, FL 34285

Authorized Member

Name Role Address
WASSERMAN, JUSTIN R Authorized Member 1111 AVENIDA DEL CIRCO, VENICE, FL 34285

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000057975 WASSERMAN ULITSKY DERMATOLOGY ACTIVE 2023-05-08 2028-12-31 No data 1111 AVENIDA DEL CIRCO, VENICE, FL, 34285

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-02-20 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
REINSTATEMENT 2022-08-10 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
REGISTERED AGENT NAME CHANGED 2020-02-10 TREADWAY FENTON, PL No data
REINSTATEMENT 2020-02-10 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
REINSTATEMENT 2013-11-21 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-03-15
REINSTATEMENT 2024-02-20
REINSTATEMENT 2022-08-10
REINSTATEMENT 2020-02-10
ANNUAL REPORT 2015-01-08
ANNUAL REPORT 2014-05-01
REINSTATEMENT 2013-11-21
ANNUAL REPORT 2012-05-01
Florida Limited Liability 2010-12-16

Date of last update: 24 Jan 2025

Sources: Florida Department of State