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SOUTHEAST UNIVERSITY PHYSICIANS PLLC - Florida Company Profile

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Company Details

Entity Name: SOUTHEAST UNIVERSITY PHYSICIANS PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SOUTHEAST UNIVERSITY PHYSICIANS PLLC 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: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 06 Feb 2019 (6 years ago)
Document Number: L19000038063
FEI/EIN Number 83-3636368

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

Address: 2560 RCA Boulevard, PALM BEACH GARDENS, FL, 33410, US
Mail Address: 2560 RCA Boulevard, PALM BEACH GARDENS, FL, 33410, US
ZIP code: 33410
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WEBB MILLSPS LAW FIRM, PA Agent 160 W CAMINO REAL 190, BOCA RATON, FL, 33432
BORREGO ROBERT Manager 3375 BURNS ROAD, PALM BEACH GARDENS, FL, 33410
Ramseyer Matthew Manager 3375 BURNS ROAD, PALM BEACH GARDENS, FL, 33410
Azar Faris Manager 3375 BURNS ROAD, PALM BEACH GARDENS, FL, 33410

National Provider Identifier

NPI Number:
1710444583
Certification Date:
2024-07-22

Authorized Person:

Name:
KATHRYN NOLAND
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207RC0200X - Critical Care Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
No
Selected Taxonomy:
2086S0102X - Surgical Critical Care Physician
Is Primary:
Yes

Contacts:

Fax:
5617999577

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-12-12 2560 RCA Boulevard, SUITE 106, PALM BEACH GARDENS, FL 33410 -
CHANGE OF MAILING ADDRESS 2022-12-12 2560 RCA Boulevard, SUITE 106, PALM BEACH GARDENS, FL 33410 -

Documents

Name Date
ANNUAL REPORT 2024-04-09
ANNUAL REPORT 2023-03-31
ANNUAL REPORT 2022-03-28
ANNUAL REPORT 2021-04-20
ANNUAL REPORT 2020-01-21
Florida Limited Liability 2019-02-06

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Date of last update: 01 Jun 2025

Sources: Florida Department of State