| Entity Name: | BRETT A OSBORN, DO, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BRETT A OSBORN, DO, PLLC 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. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 10 Oct 2014 (11 years ago) |
| Date of dissolution: | 03 Mar 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 03 Mar 2021 (4 years ago) |
| Document Number: | L14000158803 |
| FEI/EIN Number |
47-2884774
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 600 Heritage Drive, Jupiter, FL, 33458, US |
| Mail Address: | 600 Heritage Drive, Jupiter, FL, 33458, US |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316334840 | 2015-04-22 | 2015-07-16 | 600 HERITAGE DR, SUITE 105, JUPITER, FL, 334583000, US | 600 HERITAGE DR, SUITE 105, JUPITER, FL, 334583000, US | |||||||||||||||||||
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| Phone | +1 561-935-9233 |
| Fax | 5613549314 |
Authorized person
| Name | DR. BRETT A OSBORN |
| Role | OWNER/PHYSICIAN |
| Phone | 5619359233 |
Taxonomy
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| License Number | OS8838 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRETT A OSBORN, DO, PLLC | 2019 | 472884774 | 2020-08-24 | BRETT A OSBORN, DO, PLLC | 6 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2020-08-24 |
| Name of individual signing | BRETT OSBORN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2018-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5619359233 |
| Plan sponsor’s address | 600 HERITAGE DRIVE SUITE 105, JUPITER, FL, 33458 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-06-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9542491867 |
| Plan sponsor’s address | 601 HERITAGE DRIVE SUITE 105, JUPITER, FL, 33458 |
Signature of
| Role | Plan administrator |
| Date | 2019-06-15 |
| Name of individual signing | BRETT OSBORN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-06-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9542491867 |
| Plan sponsor’s address | 601 HERITAGE DRIVE SUITE 105, JUPITER, FL, 33458 |
Signature of
| Role | Plan administrator |
| Date | 2018-07-23 |
| Name of individual signing | BRETT OSBORN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-06-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9542491867 |
| Plan sponsor’s address | 601 HERITAGE DRIVE SUITE 105, JUPITER, FL, 33458 |
Signature of
| Role | Plan administrator |
| Date | 2017-09-05 |
| Name of individual signing | BRETT OSBORN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-06-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9542491867 |
| Plan sponsor’s address | 601 HERITAGE DRIVE SUITE 105, JUPITER, FL, 33458 |
Signature of
| Role | Plan administrator |
| Date | 2018-10-08 |
| Name of individual signing | BRETT OSBORN |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-06-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9542491867 |
| Plan sponsor’s address | 601 HERITAGE DRIVE SUITE 105, JUPITER, FL, 33458 |
Signature of
| Role | Plan administrator |
| Date | 2018-08-24 |
| Name of individual signing | ELIZABETH GINORI |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| OSBORN BRETT ADAM | Authorized Member | 8716 WENDY LANE EAST, WEST PALM BEACH, FL, 33411 |
| UNITED STATES CORPORATION AGENTS, INC. | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-03 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | - |
| VOLUNTARY DISSOLUTION | 2021-03-03 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-02-26 | 600 Heritage Drive, Suite 105, Jupiter, FL 33458 | - |
| CHANGE OF MAILING ADDRESS | 2015-02-26 | 600 Heritage Drive, Suite 105, Jupiter, FL 33458 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-03-03 |
| ANNUAL REPORT | 2020-04-07 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-02-12 |
| ANNUAL REPORT | 2016-04-19 |
| ANNUAL REPORT | 2015-02-26 |
| Florida Limited Liability | 2014-10-10 |
Date of last update: 01 May 2025
Sources: Florida Department of State
