| Entity Name: | SOUTH FLORIDA BREAST SPECIALISTS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Aug 2011 (14 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 15 Apr 2013 (12 years ago) |
| Document Number: | L11000091071 |
| FEI/EIN Number | 452965993 |
| Address: | 2220 SE OCEAN BLVD, STUART, FL, 34996, US |
| Mail Address: | 2220 SE OCEAN BLVD, STUART, FL, 34996, US |
| ZIP code: | 34996 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073881462 | 2011-12-13 | 2022-04-12 | 401 SE OSCEOLA ST, SUITE 200A, STUART, FL, 349942503, US | 2220 SE OCEAN BLVD STE 203, STUART, FL, 349963301, US | |||||||||||||||||||
|
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| Phone | +1 772-872-6913 |
| Fax | 7728726924 |
Authorized person
| Name | DR. DENISE MARIE ORTEGA SANDERSON |
| Role | OWNER |
| Phone | 6318487426 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| License Number | ME97068 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SANDERSON DENISE M | Agent | 2220 SE OCEAN BLVD, STUART, FL, 34996 |
| Name | Role | Address |
|---|---|---|
| SANDERSON DENISE MDr. | Managing Member | 2220 SE OCEAN BLVD, STUART, FL, 34996 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000053033 | DENISE SANDERSON, MD, PLLC | ACTIVE | 2020-05-13 | 2025-12-31 | No data | 931 SE OCEAN BLVD, SUITE B2, STUART, FL, 34994 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-13 | 2220 SE OCEAN BLVD, SUITE 203, STUART, FL 34996 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-13 | 2220 SE OCEAN BLVD, SUITE 203, STUART, FL 34996 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-13 | 2220 SE OCEAN BLVD, SUITE 203, STUART, FL 34996 | No data |
| LC NAME CHANGE | 2013-04-15 | SOUTH FLORIDA BREAST SPECIALISTS, PLLC | No data |
| REGISTERED AGENT NAME CHANGED | 2013-03-21 | SANDERSON, DENISE MD | No data |
| LC NAME CHANGE | 2011-09-30 | DENISE M. SANDERSON, MD, PLLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-02-13 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-01-29 |
| ANNUAL REPORT | 2019-01-23 |
| ANNUAL REPORT | 2018-03-21 |
| ANNUAL REPORT | 2017-01-25 |
| ANNUAL REPORT | 2016-01-19 |
| ANNUAL REPORT | 2015-01-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
