| Entity Name: | SAR MEDICAL INSTITUTE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Feb 2012 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 20 Mar 2024 (a year ago) |
| Document Number: | L12000024689 |
| FEI/EIN Number | 45-4534793 |
| Address: | 2811 TAMIAMI TRAIL, UNIT Q & R, PORT CHARLOTTE, FL, 33952, US |
| Mail Address: | PO BOX 380877, Murdock, FL, 33938, US |
| ZIP code: | 33952 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629336193 | 2012-05-02 | 2018-05-16 | PO BOX 380877, MURDOCK, FL, 339380877, US | 2811 TAMIAMI TRL STE Q, PORT CHARLOTTE, FL, 33952, US | |||||||||||||||||||||||||
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| Phone | +1 941-979-5200 |
| Fax | 9419795201 |
Authorized person
| Name | STEPHEN MARK ROSS |
| Role | MEDICAL DIRECTOR/OWNER |
| Phone | 9419795200 |
Taxonomy
| Taxonomy Code | 261QP3300X - Pain Clinic/Center |
| License Number | PMC1756 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PMC |
| Number | 1756 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GONZALEZ CRYSTAL L | Agent | 2811 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952 |
| Name | Role | Address |
|---|---|---|
| ROSS STEPHEN M | MEDI | PO BOX 380877, Murdock, FL, 33938 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-03-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-04-08 | GONZALEZ, CRYSTAL L | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-12 | 2811 TAMIAMI TRAIL, UNIT Q & R, PORT CHARLOTTE, FL 33952 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-12 | 2811 TAMIAMI TRAIL, UNIT Q, PORT CHARLOTTE, FL 33952 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-14 | 2811 TAMIAMI TRAIL, UNIT Q & R, PORT CHARLOTTE, FL 33952 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-03-20 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-04-08 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-04-17 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-02-02 |
| ANNUAL REPORT | 2014-01-13 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
