| Entity Name: | SUZ M.D. LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SUZ M.D. LLC 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: | 01 Sep 2016 (9 years ago) |
| Date of dissolution: | 31 Jul 2023 (2 years ago) |
| Last Event: | PENDING REINSTATEMENT |
| Event Date Filed: | 31 Jul 2023 (2 years ago) |
| Document Number: | L16000164641 |
| FEI/EIN Number |
81-3732198
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 11808 N 56TH ST, TEMPLE TERRACE, FL, 33617, US |
| Mail Address: | 11808 N 56TH ST, TEMPLE TERRACE, FL, 33617, US |
| ZIP code: | 33617 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891233219 | 2017-02-06 | 2017-02-06 | 11808 N 56TH ST, TEMPLE TERRACE, FL, 336171536, US | 11946 SKYLAKE PL, UNIT D, TEMPLE TERRACE, FL, 336171623, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-838-1369 |
Authorized person
| Name | DR. SUZANNE A. SALHAB |
| Role | OWNER/PHYSICIAN |
| Phone | 8138381369 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207QH0002X - Hospice and Palliative Medicine (Family Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 2083B0002X - Obesity Medicine (Preventive Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 651458 |
| State | FL |
| Issuer | LICENSE |
| Number | ME119290 |
| State | FL |
| Issuer | R&R MEDICARE |
| Number | P01430305 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SALHAB SUZANNE ADr. | Manager | 11808 N 56TH ST, TEMPLE TERRACE, FL, 33617 |
| SALHAB SUZANNE ADr. | Agent | 11808 N 56TH ST, TEMPLE TERRACE, FL, 33617 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000020663 | TERRACE LANDING FINEST MEDICAL CENTER | EXPIRED | 2017-02-24 | 2022-12-31 | - | 11946 SKYLAKE PLACE UNIT D, TEMPLE TERRACE, FL, 33617 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
| REINSTATEMENT | 2019-12-01 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-12-01 | 11808 N 56TH ST, TEMPLE TERRACE, FL 33617 | - |
| CHANGE OF MAILING ADDRESS | 2019-12-01 | 11808 N 56TH ST, TEMPLE TERRACE, FL 33617 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-12-01 | 11808 N 56TH ST, TEMPLE TERRACE, FL 33617 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| REGISTERED AGENT NAME CHANGED | 2017-02-24 | SALHAB, SUZANNE A, Dr. | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J21000460901 | ACTIVE | COWE 21-017192 | BROWARD COUNTY | 2020-06-24 | 2026-09-14 | $25,815.31 | NEXTGEN HEALTHCARE, INC., 18111 VON KARMAN AVENUE, STE. 800, IRVINE, CA 92612 |
| Name | Date |
|---|---|
| REINSTATEMENT | 2019-12-01 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-02-24 |
| Florida Limited Liability | 2016-09-01 |
Date of last update: 01 May 2025
Sources: Florida Department of State
