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BENITEZ UROLOGY LLC - Florida Company Profile

Company Details

Entity Name: BENITEZ UROLOGY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

BENITEZ UROLOGY 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 11 Apr 2017 (8 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: L17000081794
FEI/EIN Number 82-1245386

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 13770 Plantation RD, Suite 3, FORT MYERS, FL, 33912, US
Mail Address: 13770 Plantation RD, Suite 3, FORT MYERS, FL, 33912, US
ZIP code: 33912
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073022307 2017-09-29 2022-07-21 13770 PLANTATION RD STE 3, FORT MYERS, FL, 339124460, US 13770 PLANTATION RD STE 3, FORT MYERS, FL, 339124460, US

Contacts

Phone +1 239-204-9855
Fax 2392049330

Authorized person

Name DR. OMAR BENITEZ
Role PHYSICIAN
Phone 2392049855

Taxonomy

Taxonomy Code 208800000X - Urology Physician
License Number ME73664
State FL
Is Primary Yes
Taxonomy Code 2088F0040X - Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License Number ME73664
State FL
Is Primary No

Other Provider Identifiers

Issuer MEDICAL LICENSE
Number ME73664
State FL

Key Officers & Management

Name Role Address
BENITEZ OMAR Manager 15499 THORY CT., FORT MYERS, FL, 33908
BENITEZ OMAR Agent 13770 Plantation RD, FORT MYERS, FL, 33912

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000055503 COMPLETE CARE UROLOGY EXPIRED 2017-05-18 2022-12-31 - 15499 THORY CT., FORT MYERS, FL, 33908

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
REGISTERED AGENT ADDRESS CHANGED 2019-02-08 13770 Plantation RD, Suite 3, FORT MYERS, FL 33912 -
CHANGE OF PRINCIPAL ADDRESS 2018-03-12 13770 Plantation RD, Suite 3, FORT MYERS, FL 33912 -
CHANGE OF MAILING ADDRESS 2018-03-12 13770 Plantation RD, Suite 3, FORT MYERS, FL 33912 -

Documents

Name Date
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-03-12
Florida Limited Liability 2017-04-11

Date of last update: 02 Mar 2025

Sources: Florida Department of State