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ADVANCED HEALTHCARE OF THE PALM BEACHES, PLLC

Company Details

Entity Name: ADVANCED HEALTHCARE OF THE PALM BEACHES, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 29 Nov 2011 (13 years ago)
Document Number: L11000134712
FEI/EIN Number 45-3941620
Address: 301 Casa Sevilla Ave, Saint Augustine, FL 32092
Mail Address: 301 Casa Sevilla Ave, Saint Augustine, FL 32092
ZIP code: 32092
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659649630 2011-12-06 2011-12-06 4640 HYPOLUXO RD, SUITE 2, LAKE WORTH, FL, 334637534, US 4640 HYPOLUXO RD, SUITE 2, LAKE WORTH, FL, 334637534, US

Contacts

Phone +1 561-296-1715
Fax 5612961716

Authorized person

Name MR. DAVID STEVEN SLOSSBERG
Role MANAGING MEMBER
Phone 5612961715

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
License Number ME100049
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADVANCED HEALTHCARE OF THE PALM BEACHES, PLLC RETIREMENT PLAN AND TRUST 2017 453941620 2018-03-19 ADVANCED HEALTHCARE OF THE PALM BEACHES, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621310
Sponsor’s telephone number 5612961715
Plan sponsor’s address 4640 HYPOLUXO RD STE 2, LAKE WORTH, FL, 334637534
ADVANCED HEALTHCARE OF THE PALM BEACHES, PLLC RETIREMENT PLAN AND TRUST 2016 453941620 2017-08-01 ADVANCED HEALTHCARE OF THE PALM BEACHES, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621310
Sponsor’s telephone number 5612961715
Plan sponsor’s address 4640 HYPOLUXO RD STE 2, LAKE WORTH, FL, 334637534
ADVANCED HEALTHCARE OF THE PALM BEACHES, PLLC RETIREMENT PLAN AND TRUST 2015 453941620 2016-08-18 ADVANCED HEALTHCARE OF THE PALM BEACHES, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621310
Sponsor’s telephone number 5612961715
Plan sponsor’s address 4640 HYPOLUXO RD STE 2, LAKE WORTH, FL, 334637534
ADVANCED HEALTHCARE OF THE PALM BEACHES, PLLC RETIREMENT PLAN AND TRUST 2014 453941620 2015-08-13 ADVANCED HEALTHCARE OF THE PALM BEACHES, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621310
Sponsor’s telephone number 5612961715
Plan sponsor’s address 4640 HYPOLUXO ROAD, SUITE 2, LAKE WORTH, FL, 33463

Agent

Name Role Address
SLOSSBERG, DAVID Agent 301 Casa Sevilla Ave, Saint Augustine, FL 32092

Managing Member

Name Role Address
SLOSSBERG, DAVID Managing Member 301 Casa Sevilla Ave, Saint Augustine, FL 32092
Slossberg, David Steven Managing Member 17 Montserrat Drive, Saint Augustine, FL 32092

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000117835 ADVANCED HEALTHCARE EXPIRED 2011-12-06 2016-12-31 No data 4640 HYPOLUXO RD. 2, LAKE WORTH, FL, 33463

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-02-23 301 Casa Sevilla Ave, Saint Augustine, FL 32092 No data
CHANGE OF MAILING ADDRESS 2022-02-23 301 Casa Sevilla Ave, Saint Augustine, FL 32092 No data
REGISTERED AGENT ADDRESS CHANGED 2022-02-23 301 Casa Sevilla Ave, Saint Augustine, FL 32092 No data

Documents

Name Date
ANNUAL REPORT 2024-01-19
ANNUAL REPORT 2023-01-28
ANNUAL REPORT 2022-02-23
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-06-06
ANNUAL REPORT 2019-03-06
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-01-24
ANNUAL REPORT 2015-01-12

Date of last update: 23 Jan 2025

Sources: Florida Department of State