| Entity Name: | SLENTZ SURGICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 May 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: | L11000058564 |
| FEI/EIN Number | 452296863 |
| Address: | 202 S. WALNUT STREET, STARKE, FL, 32091, US |
| Mail Address: | 202 S. WALNUT STREET, STARKE, FL, 32091, US |
| ZIP code: | 32091 |
| County: | Bradford |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659666808 | 2011-06-16 | 2011-06-16 | 319 W CALL ST, BLDG B STE A, STARKE, FL, 320913113, US | 319 W CALL ST, BLDG B STE A, STARKE, FL, 320913113, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 908-368-8100 |
| Fax | 9083688120 |
Authorized person
| Name | DR. KEVIN D SLENTZ |
| Role | OWNER |
| Phone | 9083688100 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MADANI SHEADA E | Agent | 37837 MERIDIAN AVENUE, DADE CITY, FL, 33525 |
| Name | Role | Address |
|---|---|---|
| SLENTZ KEVIN DDr. | Managing Member | 202 S. WALNUT STREET, STARKE, FL, 32091 |
| SLENTZ DEANNA K | Managing Member | 202 S. WALNUT STREET, STARKE, FL, 32091 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| LC AMENDMENT | 2011-12-12 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-08-08 | 202 S. WALNUT STREET, STARKE, FL 32091 | No data |
| CHANGE OF MAILING ADDRESS | 2011-08-08 | 202 S. WALNUT STREET, STARKE, FL 32091 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-01-13 |
| ANNUAL REPORT | 2013-01-31 |
| ANNUAL REPORT | 2012-01-09 |
| LC Amendment | 2011-12-12 |
| Florida Limited Liability | 2011-05-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
