Entity Name: | SUNSHINE STATE PHYSICIANS GROUP, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Inactive |
Date Filed: | 23 Oct 2012 (12 years ago) |
Date of dissolution: | 25 Sep 2020 (4 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 25 Sep 2020 (4 years ago) |
Document Number: | L12000134701 |
FEI/EIN Number | 46-1240553 |
Address: | 840 OCEAN DR., UNIT 202, JUNO BEACH, FL 33408 |
Mail Address: | 840 OCEAN DR., UNIT 202, JUNO BEACH, FL 33408 |
ZIP code: | 33408 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1346594868 | 2012-11-06 | 2012-11-06 | 9753 S ORANGE BLOSSOM TRL, SUITE 103, ORLANDO, FL, 328377841, US | 9753 S ORANGE BLOSSOM TRL, SUITE 103, ORLANDO, FL, 328377841, US | |||||||||||||||||||||||||||
|
Phone | +1 407-857-8679 |
Fax | 4078578672 |
Authorized person
Name | MS. SANDRA LYNNE AUSTIN |
Role | DIRECTOR OF CLINICAL OPERATIONS |
Phone | 4078578679 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
License Number | CH10505 |
State | FL |
Is Primary | No |
Taxonomy Code | 174400000X - Specialist |
License Number | ME50492 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
RUDOLPH, ROBERT M | Agent | 840 OCEAN DR., UNIT 202, JUNO BEACH, FL 33408 |
Name | Role | Address |
---|---|---|
RUDOLPH, ROBERT M | Managing Member | 840 Ocean Dr., Unit 202, Juno Beach, FL 33408 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G12000110342 | SUNSHINE STATE PHYSICIANS GROUP | EXPIRED | 2012-11-15 | 2017-12-31 | No data | 8208 CALTERRA DR., PALM BEACH GARDENS, FL, 33418 |
G12000104252 | SUNSHINE STATE PHYSICIANS GROUP | EXPIRED | 2012-10-25 | 2017-12-31 | No data | 8208 CALTERRA DR, PALM BEACH GARDENS, FL, 33418 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
REGISTERED AGENT ADDRESS CHANGED | 2017-03-15 | 840 OCEAN DR., UNIT 202, JUNO BEACH, FL 33408 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2016-11-07 | 840 OCEAN DR., UNIT 202, JUNO BEACH, FL 33408 | No data |
CHANGE OF MAILING ADDRESS | 2016-11-07 | 840 OCEAN DR., UNIT 202, JUNO BEACH, FL 33408 | No data |
LC AMENDMENT AND NAME CHANGE | 2012-10-25 | SUNSHINE STATE PHYSICIANS GROUP, LLC | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2019-03-18 |
ANNUAL REPORT | 2018-03-05 |
ANNUAL REPORT | 2017-03-15 |
ANNUAL REPORT | 2016-03-02 |
ANNUAL REPORT | 2015-03-29 |
ANNUAL REPORT | 2014-02-17 |
ANNUAL REPORT | 2013-03-31 |
LC Amendment and Name Change | 2012-10-25 |
Florida Limited Liability | 2012-10-23 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State