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