| Entity Name: | SURGEONS OF CENTRAL FLORIDA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 22 Oct 2018 (6 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: | L18000247824 |
| FEI/EIN Number | 83-3388935 |
| Address: | 755 JAYBEE AVE, DAVENPORT, FL 33897 |
| Mail Address: | 755 JAYBEE AVE, DAVENPORT, FL 33897 |
| ZIP code: | 33897 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013474063 | 2019-02-26 | 2019-04-23 | 755 JAY BEE AVENUE, DAVENPORT, FL, 33897, US | 755 JAY BEE AVENUE, DAVENPORT, FL, 33897, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 863-286-0607 |
Authorized person
| Name | RUSSELL THEODORE BROWN |
| Role | OWNER |
| Phone | 8632760607 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BROWN, RUSS | Agent | 755 JAYBEE AVE, DAVENPORT, FL 33897 |
| Name | Role | Address |
|---|---|---|
| BROWN, RUSS | Authorized Member | 755 JAYBEE AVE, DAVENPORT, FL 33897 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-29 |
| Florida Limited Liability | 2018-10-22 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
