| Entity Name: | UNIVERSITY PERINATAL ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 21 Apr 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: | L11000047327 |
| FEI/EIN Number | 45-2196346 |
| Mail Address: | 1501 YAMATO ROAD SUITE 200 W, BOCA RATON, FL 33431 |
| Address: | 8645 N. MILITARY TRAIL, STE 508, PALM BEACH GARDENS, FL 33410 |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811134273 | 2009-01-07 | 2010-07-08 | 11505 FAIRCHILD GARDENS AVE, SUITE 101, PALM BEACH GARDENS, FL, 334102847, US | 11505 FAIRCHILD GARDENS AVE, SUITE 101, PALM BEACH GARDENS, FL, 334102847, US | |||||||||||||||||||||||
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| Phone | +1 561-630-8001 |
Authorized person
| Name | DR. RUEL TYRONE STOESSEL |
| Role | OWNER |
| Phone | 5616308001 |
Taxonomy
| Taxonomy Code | 207VM0101X - Maternal & Fetal Medicine Physician |
| License Number | ME72366 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 253207700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KONSKER, KENNETH A | Agent | 3731 FAU BLVD, STE 1, BOCA RATON, FL 33431 |
| Name | Role |
|---|---|
| FLORIDA WOMAN CARE, LLC | Managing Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2014-08-28 | 8645 N. MILITARY TRAIL, STE 508, PALM BEACH GARDENS, FL 33410 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-19 | 3731 FAU BLVD, STE 1, BOCA RATON, FL 33431 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-23 | 8645 N. MILITARY TRAIL, STE 508, PALM BEACH GARDENS, FL 33410 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-17 |
| ANNUAL REPORT | 2013-04-19 |
| ANNUAL REPORT | 2012-04-23 |
| Florida Limited Liability | 2011-04-21 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
