| Entity Name: | SOUTH HOLLYWOOD PHYSICIANS GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 08 Aug 2016 (9 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L16000147258 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 3389 SHERIDAN STREET, SUITE 606, HOLLYWOOD, FL, 33021, US |
| Mail Address: | 3389 SHERIDAN STREET, SUITE 606, HOLLYWOOD, FL, 33021, US |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205382835 | 2016-09-01 | 2016-09-01 | 3389 SHERIDAN STREET, SUITE 606, HOLLYWOOD, FL, 33021, US | 3389 SHERIDAN STREET, SUITE 606, HOLLYWOOD, FL, 33021, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 954-399-8417 |
Authorized person
| Name | DR. ROBERT SANCHEZ |
| Role | CEO |
| Phone | 3057261450 |
Taxonomy
| Taxonomy Code | 103TP2701X - Group Psychotherapy Psychologist |
| Is Primary | No |
| Taxonomy Code | 133N00000X - Nutritionist |
| Is Primary | No |
| Taxonomy Code | 2084A0401X - Addiction Medicine (Psychiatry & Neurology) Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084P0802X - Addiction Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 225700000X - Massage Therapist |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SANCHEZ ROBERTO | Agent | 709 SE 3RD COURT, DANIA BEACH, FL, 33004 |
| Name | Role | Address |
|---|---|---|
| SANCHEZ ROBERTO | Manager | 709 SE 3RD COURT, DANIA BEACH, FL, 33004 |
| KITZEN GREGORY | Manager | 2317 PALM HARBOR DRIVE, PALM BEACH GARDENS, FL, 33410 |
| Kitzen Ira MBR | Manager | 3389 SHERIDAN STREET, HOLLYWOOD, FL, 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-02-20 |
| Florida Limited Liability | 2016-08-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
