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 |
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 | |||||||||||||||||||
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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 |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
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ADVANCED HEALTHCARE OF THE PALM BEACHES, PLLC RETIREMENT PLAN AND TRUST | 2017 | 453941620 | 2018-03-19 | ADVANCED HEALTHCARE OF THE PALM BEACHES, PLLC | 4 | |||||||||||||
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ADVANCED HEALTHCARE OF THE PALM BEACHES, PLLC RETIREMENT PLAN AND TRUST | 2016 | 453941620 | 2017-08-01 | ADVANCED HEALTHCARE OF THE PALM BEACHES, PLLC | 11 | |||||||||||||
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ADVANCED HEALTHCARE OF THE PALM BEACHES, PLLC RETIREMENT PLAN AND TRUST | 2015 | 453941620 | 2016-08-18 | ADVANCED HEALTHCARE OF THE PALM BEACHES, PLLC | 4 | |||||||||||||
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ADVANCED HEALTHCARE OF THE PALM BEACHES, PLLC RETIREMENT PLAN AND TRUST | 2014 | 453941620 | 2015-08-13 | ADVANCED HEALTHCARE OF THE PALM BEACHES, PLLC | 2 | |||||||||||||
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Name | Role | Address |
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SLOSSBERG, DAVID | Agent | 301 Casa Sevilla Ave, Saint Augustine, FL 32092 |
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 |
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 |
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 |
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