| Entity Name: | FAIRCHILD HEALTHCARE SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 18 Mar 2011 (14 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L11000033330 |
| FEI/EIN Number | 45-0705909 |
| Mail Address: | 201 MONTGOMERY AVE, SARASOTA, FL 34243 |
| Address: | 7875 SW 104TH ST, MIAMI, FL 33156 |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063791200 | 2011-08-05 | 2011-10-07 | PO BOX 864702, ORLANDO, FL, 328860001, US | 7875 SW 104TH ST, STE 201, MIAMI, FL, 331562642, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 305-270-7572 |
Authorized person
| Name | PHILIP GROSSMAN |
| Role | MEMBER MANAGER |
| Phone | 3052707572 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| grossman, philip | Agent | 201 MONTGOMERY AVE, SARASOTA, FL 34243 |
| Name | Role | Address |
|---|---|---|
| GROSSMAN, PHILIP MD | Managing Member | 7875 SW 104TH ST, MIAMI, FL 33156 |
| BRAND, BARRY EMD | Managing Member | 7875 SW 104TH ST, MIAMI, FL 33156 |
| FISHBEIN, PAUL GMD | Managing Member | 7875 SW 104TH ST, MIAMI, FL 33156 |
| MORALES, PEDRO MD | Managing Member | 7875 SW 104TH ST, MIAMI, FL 33156 |
| LANOFF, ROBERT MD | Managing Member | 7875 SW 104TH ST, MIAMI, FL 33156 |
| ROSENKRANZ, NEIL MD | Managing Member | 7875 SW 104TH ST, MIAMI, FL 33156 |
| PRICE, STEVEN | Managing Member | 7875 SW 104TH ST, MIAMI, FL 33156 |
| LAGO, VICENTE | Managing Member | 7875 SW 104TH ST, MIAMI, FL 33156 |
| STAUBER, RONALD | Managing Member | 7875 SW 104TH ST, MIAMI, FL 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-30 | 7875 SW 104TH ST, MIAMI, FL 33156 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-30 | grossman, philip | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-23 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-04-27 |
| Florida Limited Liability | 2011-03-18 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
