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SUNSTATE PHYSICIANS LLC

Company Details

Entity Name: SUNSTATE PHYSICIANS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 Sep 2017 (7 years ago)
Document Number: L17000187449
FEI/EIN Number 82-2409445
Address: 801 West Bay Drive Ste 232, Largo, FL, 33770, US
Mail Address: 2234 N. FEDERAL HWY, SUITE 531, BOCA RATON, FL, 33431, US
ZIP code: 33770
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750872545 2018-05-29 2021-11-10 2234 N FEDERAL HWY STE 531, BOCA RATON, FL, 334317710, US 2234 N FEDERAL HWY STE 531, BOCA RATON, FL, 33431, US

Contacts

Phone +1 727-316-5033

Authorized person

Name ROGER BROWN
Role OWNER
Phone 5613026086

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary No
Taxonomy Code 208M00000X - Hospitalist Physician
Is Primary Yes

Agent

Name Role
KAREN B. SCHAPIRA, PLLC Agent

Manager

Name Role
SUNSTATE HEALTH HOLDINGS LLC Manager

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000147928 FOUNDATION MEDICAL GROUP ACTIVE 2021-11-03 2026-12-31 No data 2234 N FEDERAL HIGHWAY, SUITE 531, BOCA RATON, FL, 33431

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-10-04 801 West Bay Drive Ste 232, Largo, FL 33770 No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-26 11523 Palmbrush trail, lakewood ranch, FL 34202 No data
CHANGE OF MAILING ADDRESS 2019-04-22 801 West Bay Drive Ste 232, Largo, FL 33770 No data

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-06-15
ANNUAL REPORT 2019-04-22
ANNUAL REPORT 2018-02-28
Florida Limited Liability 2017-09-01

Date of last update: 03 Feb 2025

Sources: Florida Department of State