| Entity Name: | SUPERIOR PHYSICIAN GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SUPERIOR PHYSICIAN GROUP, 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 May 2018 (7 years ago) |
| Date of dissolution: | 29 Mar 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Mar 2022 (3 years ago) |
| Document Number: | L18000118880 |
| FEI/EIN Number |
830575727
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6983 East Fowler Ave, TEMPLE TERRACE, FL, 33617, US |
| Mail Address: | 10730 N 56TH., SUITE 209, 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 | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164912754 | 2018-05-18 | 2018-05-22 | 10730 N 56TH ST STE 209, TEMPLE TERRACE, FL, 336173611, US | 10730 N 56TH ST STE 209, TEMPLE TERRACE, FL, 33617, US | |||||||||||||||||
|
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| Phone | +1 813-365-5680 |
Authorized person
| Name | MS. RENII MODISETTE |
| Role | OPERATIONS MANAGER |
| Phone | 8133655680 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SAED AYMAN B | Manager | 10730 N 56TH., SUITE 209, FL, 33617 |
| SAED AYMAN B | Agent | 10730 N 56TH., TEMPLE TERRACE, FL, 33617 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-20 | 6983 East Fowler Ave, TEMPLE TERRACE, FL 33617 | - |
| VOLUNTARY DISSOLUTION | 2022-03-29 | - | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-03-29 |
| ANNUAL REPORT | 2021-02-17 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-13 |
| Florida Limited Liability | 2018-05-11 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
