| Entity Name: | FLORIDA UROLOGY SPECIALISTS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Nov 2016 (8 years ago) |
| Document Number: | L16000209422 |
| FEI/EIN Number | 81-4389031 |
| Address: | 1 S SCHOOL AVE., STE. 200, SARASOTA, FL, 34237, US |
| Mail Address: | 1 S SCHOOL AVE., STE. 200, SARASOTA, FL, 34237, US |
| ZIP code: | 34237 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295277911 | 2016-11-11 | 2016-11-11 | 1 S SCHOOL AVE, SUITE 200, SARASOTA, FL, 342376014, US | 1 S SCHOOL AVE, SUITE 200, SARASOTA, FL, 342376014, US | |||||||||||||||||||||||||||
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| Phone | +1 941-309-7000 |
| Fax | 9413097009 |
Authorized person
| Name | WILLIAM J TINGLE |
| Role | MANAGING PARTNER |
| Phone | 9413097000 |
Taxonomy
| Taxonomy Code | 208800000X - Urology Physician |
| License Number | ME0059349 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2088P0231X - Pediatric Urology Physician |
| License Number | ME0045454 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Pagley Pamela J | Agent | 1 S SCHOOL AVE., STE. 200, SARASOTA, FL, 34237 |
| Name | Role | Address |
|---|---|---|
| TINGLE WILLIAM JMD. | Manager | 1 S SCHOOL AVE., STE. 200, SARASOTA, FL, 34237 |
| Name | Role | Address |
|---|---|---|
| BILIK A. JOSEPH MD | Authorized Member | 1 S SCHOOL AVE., STE. 200, SARASOTA, FL, 34237 |
| PERRY MATTHEW JMD | Authorized Member | 1 S SCHOOL AVE., STE. 200, SARASOTA, FL, 34237 |
| Name | Role | Address |
|---|---|---|
| Bergamo Jeremy MD. | Auth | 1 S SCHOOL AVE., STE. 200, SARASOTA, FL, 34237 |
| Green Joshua | Auth | 1 S SCHOOL AVE., STE. 200, SARASOTA, FL, 34237 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-30 | Pagley, Pamela J | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-03-08 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-01-09 |
| Florida Limited Liability | 2016-11-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
