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PHYSICIANS MEDICAL GROUP OF SOUTHWEST FLORIDA, L.L.C. - Florida Company Profile

Company Details

Entity Name: PHYSICIANS MEDICAL GROUP OF SOUTHWEST FLORIDA, L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PHYSICIANS MEDICAL GROUP OF SOUTHWEST FLORIDA, L.L.C. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 15 Jul 2013 (12 years ago)
Last Event: LC DISSOCIATION MEM
Event Date Filed: 17 Nov 2016 (8 years ago)
Document Number: L13000100051
FEI/EIN Number 46-3215567

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 3800 COLONIAL BLVD, STE 200, FORT MYERS, FL, 33966-1075, US
Mail Address: 3800 COLONIAL BLVD, STE 200, FORT MYERS, FL, 33966-1075, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104259035 2013-08-14 2023-06-19 3800 COLONIAL BLVD STE 200, FORT MYERS, FL, 339661075, US 3800 COLONIAL BLVD STE 200, FORT MYERS, FL, 339661075, US

Contacts

Phone +1 239-936-1233
Fax 2399368576

Authorized person

Name BARRY K BUTLER
Role MEDICAL DIRECTOR
Phone 2399361233

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number OS002373
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
Butler Barry KDr. Member 3800 COLONIAL BLVD, FORT MYERS, FL, 339661075
Fralicker Aaron APRN Member 3800 COLONIAL BLVD, FORT MYERS, FL, 339661075
Edward Jaime Agent 3800 COLONIAL BOULEVARD, FORT MYERS, FL, 339661075

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-01 3800 COLONIAL BLVD, STE 200, FORT MYERS, FL 33966-1075 -
CHANGE OF MAILING ADDRESS 2024-02-01 3800 COLONIAL BLVD, STE 200, FORT MYERS, FL 33966-1075 -
REGISTERED AGENT ADDRESS CHANGED 2024-02-01 3800 COLONIAL BOULEVARD, STE 200, FORT MYERS, FL 33966-1075 -
REGISTERED AGENT NAME CHANGED 2023-02-13 Edward, Jaime -
LC DISSOCIATION MEM 2016-11-17 - -

Documents

Name Date
ANNUAL REPORT 2025-02-05
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-02-13
ANNUAL REPORT 2022-03-14
ANNUAL REPORT 2021-02-15
ANNUAL REPORT 2020-03-28
ANNUAL REPORT 2019-03-26
ANNUAL REPORT 2018-02-20
ANNUAL REPORT 2017-03-14
CORLCDSMEM 2016-11-17

Date of last update: 01 Mar 2025

Sources: Florida Department of State