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SUNSHINE STATE PHYSICIANS GROUP, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
RUDOLPH, ROBERT M Agent 840 OCEAN DR., UNIT 202, JUNO BEACH, FL 33408

Managing Member

Name Role Address
RUDOLPH, ROBERT M Managing Member 840 Ocean Dr., Unit 202, Juno Beach, FL 33408

Fictitious Names

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

Events

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

Documents

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