| Entity Name: | JEFFREY G. BENTSON, M.D., PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 28 Aug 2012 (12 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L12000110578 |
| FEI/EIN Number | 37-1700754 |
| Address: | 2001 Bal Harbor Blvd, #2302, PUNTA GORDA, FL 33950 |
| Mail Address: | 2001 Bal Harbor Blvd, #2302, PUNTA GORDA, FL 33950 |
| ZIP code: | 33950 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083850820 | 2008-12-29 | 2014-02-10 | 4161 TAMIAMI TRL, UNIT 101, PORT CHARLOTTE, FL, 339529204, US | 4161 TAMIAMI TRL, UNIT 101, PORT CHARLOTTE, FL, 339529204, US | |||||||||||||||
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| Phone | +1 941-625-0984 |
| Fax | 9416250877 |
Authorized person
| Name | DR. JEFFREY G BENTSON |
| Role | PHYSICIAN |
| Phone | 9416250984 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BENTSON, JEFFREY GMD | Agent | 2001 Bal Harbor Blvd, #2302, PUNTA GORDA, FL 33950 |
| Name | Role | Address |
|---|---|---|
| BENTSON, JEFFREY GMD | Managing Member | 2001 Bal Harbor Blvd, #2302 PUNTA GORDA, FL 33950 |
| Name | Role | Address |
|---|---|---|
| Bentson, Colleen | Manager | 2001 Bal Harbor Blvd, #2302 PUNTA GORDA, FL 33950 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-29 | 2001 Bal Harbor Blvd, #2302, PUNTA GORDA, FL 33950 | No data |
| CHANGE OF MAILING ADDRESS | 2015-03-29 | 2001 Bal Harbor Blvd, #2302, PUNTA GORDA, FL 33950 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-29 | 2001 Bal Harbor Blvd, #2302, PUNTA GORDA, FL 33950 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-03-29 |
| ANNUAL REPORT | 2014-04-24 |
| ANNUAL REPORT | 2013-03-22 |
| Florida Limited Liability | 2012-08-28 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
