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  5. JOSEPH SURGERY, LLC

JOSEPH SURGERY, LLC

Company Details

Entity Name: JOSEPH SURGERY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 Oct 2011 (13 years ago)
Document Number: L11000118750
FEI/EIN Number 453652954
Address: 9415 NE 6TH AVENUE, MIAMI SHORES, FL, 33138, US
Mail Address: 9415 NE 6TH AVENUE, MIAMI SHORES, FL, 33138, US
ZIP code: 33138
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649540725 2012-01-06 2013-04-09 9415 NE 6TH AVE, MIAMI SHORES, FL, 331382737, US 9415 NE 6TH AVE, MIAMI SHORES, FL, 331382737, US

Contacts
Phone +1 786-401-6455
Fax 7864016394

Authorized person
Name DR. ROMANE JOSEPH
Role OWNER
Phone 7864016455

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number ME111651
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number APPLYING FOR
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JOSEPH SURGERY, LLC 401(K) P/S PLAN 2023 453652954 2024-10-11 JOSEPH SURGERY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7864016455
Plan sponsor’s address 9415 NE 6TH AVE, MIAMI SHORES, FL, 33138

Signature of
Role Plan administrator
Date 2024-10-11
Name of individual signing ROMANE JOSEPH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-11
Name of individual signing ROMANE JOSEPH
Valid signature Filed with authorized/valid electronic signature
JOSEPH SURGERY, LLC 401(K) P/S PLAN 2022 453652954 2023-09-06 JOSEPH SURGERY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7864016455
Plan sponsor’s address 9415 NE 6TH AVE, MIAMI SHORES, FL, 33138

Plan administrator’s name and address
Administrator’s EIN 453652954
Plan administrator’s name JOSEPH SURGERY, LLC
Plan administrator’s address 9415 NE 6TH AVE, MIAMI SHORES, FL, 33138
Administrator’s telephone number 7864016455

Signature of
Role Plan administrator
Date 2023-09-06
Name of individual signing VALENCIA DUCHEINE
Valid signature Filed with authorized/valid electronic signature
JOSEPH SURGERY, LLC 401(K) P/S PLAN 2021 453652954 2022-10-06 JOSEPH SURGERY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7864016455
Plan sponsor’s address 9415 NE 6TH AVE, MIAMI SHORES, FL, 33138

Plan administrator’s name and address
Administrator’s EIN 453652954
Plan administrator’s name JOSEPH SURGERY, LLC
Plan administrator’s address 9415 NE 6TH AVE, MIAMI SHORES, FL, 33138
Administrator’s telephone number 7864016455

Signature of
Role Plan administrator
Date 2022-10-06
Name of individual signing VALENCIA DUCHEINE
Valid signature Filed with authorized/valid electronic signature
JOSEPH SURGERY, LLC 401(K) P/S PLAN 2020 453652954 2021-10-11 JOSEPH SURGERY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7864016455
Plan sponsor’s address 9415 NE 6TH AVE, MIAMI SHORES, FL, 33138

Plan administrator’s name and address
Administrator’s EIN 453652954
Plan administrator’s name JOSEPH SURGERY, LLC
Plan administrator’s address 9415 NE 6TH AVE, MIAMI SHORES, FL, 33138
Administrator’s telephone number 7864016455

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing VALENCIA DUCHEINE
Valid signature Filed with authorized/valid electronic signature
JOSEPH SURGERY, LLC 401(K) P/S PLAN 2019 453652954 2020-12-07 JOSEPH SURGERY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7864016455
Plan sponsor’s address 9415 NE 6TH AVE, MIAMI SHORES, FL, 33138

Plan administrator’s name and address
Administrator’s EIN 453652954
Plan administrator’s name JOSEPH SURGERY, LLC
Plan administrator’s address 9415 NE 6TH AVE, MIAMI SHORES, FL, 33138
Administrator’s telephone number 7864016455

Signature of
Role Plan administrator
Date 2020-12-07
Name of individual signing EDWARD JONES
Valid signature Filed with authorized/valid electronic signature
JOSEPH SURGERY, LLC 401(K) P/S PLAN 2018 453652954 2020-09-09 JOSEPH SURGERY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7864016455
Plan sponsor’s address 9415 NE 6TH AVE, MIAMI SHORES, FL, 33138

Plan administrator’s name and address
Administrator’s EIN 453652954
Plan administrator’s name JOSEPH SURGERY, LLC
Plan administrator’s address 9415 NE 6TH AVE, MIAMI SHORES, FL, 33138
Administrator’s telephone number 7864016455

Signature of
Role Plan administrator
Date 2020-09-09
Name of individual signing EDWARD JONES
Valid signature Filed with authorized/valid electronic signature
JOSEPH SURGERY, LLC 401(K) P/S PLAN 2017 453652954 2019-03-01 JOSEPH SURGERY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7864016455
Plan sponsor’s address 9415 NE 6TH AVE, MIAMI SHORES, FL, 33138

Plan administrator’s name and address
Administrator’s EIN 453652954
Plan administrator’s name JOSEPH SURGERY, LLC
Plan administrator’s address 9415 NE 6TH AVE, MIAMI SHORES, FL, 33138
Administrator’s telephone number 7864016455

Signature of
Role Plan administrator
Date 2019-03-01
Name of individual signing ROMANE JOSEPH
Valid signature Filed with authorized/valid electronic signature
JOSEPH SURGERY, LLC 401(K) P/S PLAN 2016 453652954 2017-10-13 JOSEPH SURGERY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7864016455
Plan sponsor’s address 9415 NE 6TH AVE, MIAMI SHORES, FL, 33138

Plan administrator’s name and address
Administrator’s EIN 453652954
Plan administrator’s name JOSEPH SURGERY, LLC
Plan administrator’s address 9415 NE 6TH AVE, MIAMI SHORES, FL, 33138
Administrator’s telephone number 7864016455

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing VALENCIA DUCHEINE
Valid signature Filed with authorized/valid electronic signature
JOSEPH SURGERY, LLC 401(K) P/S PLAN 2015 453652954 2016-10-14 JOSEPH SURGERY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7864016455
Plan sponsor’s address 9415 NE 6TH AVE, MIAMI SHORES, FL, 33138

Plan administrator’s name and address
Administrator’s EIN 453652954
Plan administrator’s name JOSEPH SURGERY, LLC
Plan administrator’s address 9415 NE 6TH AVE, MIAMI SHORES, FL, 33138
Administrator’s telephone number 7864016455

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing VALENCIA DUCHEINE
Valid signature Filed with authorized/valid electronic signature
JOSEPH SURGERY, LLC 401(K) P/S PLAN 2014 453652954 2015-09-14 JOSEPH SURGERY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7864016455
Plan sponsor’s address 9415 NE 6TH AVE, MIAMI SHORES, FL, 33138

Plan administrator’s name and address
Administrator’s EIN 453652954
Plan administrator’s name JOSEPH SURGERY, LLC
Plan administrator’s address 9415 NE 6TH AVE, MIAMI SHORES, FL, 33138
Administrator’s telephone number 7864016455

Signature of
Role Plan administrator
Date 2015-09-14
Name of individual signing VALENCIA DUCHEINE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JONES HAROLD Agent 500 NE 12th Avenue, Pompano Beach, FL, 33060

Managing Member

Name Role Address
JOSEPH ROMANE D Managing Member 17965 SW 1ST STREET, PEMBROKE PINES, FL, 33029

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000125352 AWARE SERVICES ACTIVE 2023-10-10 2028-12-31 No data 9415 NE 6TH AVENUE, MIAMI SHORES, FL, 33138
G19000033800 JOSEPH SURGERY WOUND CARE CENTER EXPIRED 2019-03-13 2024-12-31 No data 9415 NE 6TH AVE, MIAMI SHORES, FL, 33138

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-04-26 JONES, HAROLD No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-19 500 NE 12th Avenue, Pompano Beach, FL 33060 No data
CHANGE OF PRINCIPAL ADDRESS 2012-04-30 9415 NE 6TH AVENUE, MIAMI SHORES, FL 33138 No data
CHANGE OF MAILING ADDRESS 2012-04-30 9415 NE 6TH AVENUE, MIAMI SHORES, FL 33138 No data

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-04-19
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-06-15
ANNUAL REPORT 2019-04-24
ANNUAL REPORT 2018-05-01
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-02-20

Related by officers

JONES HAROLD

HAROLD JONES FUNERAL REFERRAL SERVICES, INC. COASTLINE COMPOSTS, LLC JONES INVESTIGATIVE SERVICES, LLC G FELLA MONEY BOY MUSIC L.L.C. HBJ INVESTMENTS, INC. SHEFF EXPRESS DIGITAL IMAGING, INC. GARY SHEFFIELD FOUNDATION, INC. BETTY JONES SPA & SALON, INC. HERITAGE FAMILY FUNERAL HOME INC. RICHARD'S CARPET WAREHOUSE, INC.

Related by address

No related companies by address

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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