| Entity Name: | FLORIDA HEALTH CARE MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Jun 2016 (9 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 04 Dec 2019 (5 years ago) |
| Document Number: | L16000117455 |
| FEI/EIN Number | 812971023 |
| Address: | 107 JFK DRIVE, ATLANTIS, FL, 33462, US |
| Mail Address: | 107 JFK DRIVE, ATLANTIS, FL, 33462, US |
| ZIP code: | 33462 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013460294 | 2016-07-25 | 2016-07-25 | 5401 S CONGRESS AVE, SUITE 201, ATLANTIS, FL, 334626635, US | 5401 S CONGRESS AVE, SUITE 201, ATLANTIS, FL, 334626635, US | |||||||||||||||
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| Phone | +1 561-641-7848 |
| Fax | 5616412442 |
Authorized person
| Name | DR. ANDREW ROSS BERKMAN |
| Role | PARTNER |
| Phone | 3057728020 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FLORIDA HEALTH CARE MEDICAL GROUP, LLC 401(K) PROFIT SHARING PLAN | 2018 | 812971023 | 2019-10-15 | FLORIDA HEALTH CARE MEDICAL GROUP, LLC | 22 | |||||||||||||
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| FLORIDA HEALTH CARE MEDICAL GROUP, LLC 401(K) PROFIT SHARING PLAN | 2017 | 812971023 | 2018-10-11 | FLORIDA HEALTH CARE MEDICAL GROUP, LLC | 0 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| MANCHON KENNETH | Agent | 107 JFK DRIVE, LAKE WORTH, FL, 33462 |
| Name | Role | Address |
|---|---|---|
| BERKMAN ANDREW R | Manager | 35 SPANISH RIVER, OCEAN RIDGE, FL, 33435 |
| MANCHON KENNETH | Manager | 23 HARBOUR DRIVE NORTH, OCEAN RIDGE, FL, 33436 |
| DOSDOS ALFREDO | Manager | 114 TIM MARA DRIVE, JUPITER, FL, 33477 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2019-12-04 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-12-04 | MANCHON, KENNETH | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-05-31 | 107 JFK DRIVE, LAKE WORTH, FL 33462 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-14 | 107 JFK DRIVE, SUITE B, ATLANTIS, FL 33462 | No data |
| CHANGE OF MAILING ADDRESS | 2017-02-14 | 107 JFK DRIVE, SUITE B, ATLANTIS, FL 33462 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-03-03 |
| CORLCRACHG | 2019-12-04 |
| ANNUAL REPORT | 2019-01-14 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-05-31 |
| Florida Limited Liability | 2016-06-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
