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  5. PHYSICIANS OF HOLLYWOOD, LLC

PHYSICIANS OF HOLLYWOOD, LLC - Florida Company Profile

Company Details

Entity Name: PHYSICIANS OF HOLLYWOOD, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PHYSICIANS OF HOLLYWOOD, 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.
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: 17 Mar 2020 (5 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 14 Sep 2020 (5 years ago)
Document Number: L20000078479
FEI/EIN Number 84-5134458

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 7900 NOVA DRIVE SUITE 103, DAVIE, FL, 33324, US
Mail Address: 7900 NOVA DRIVE SUITE 103, DAVIE, FL, 33324, US
ZIP code: 33324
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144856626 2020-03-17 2020-03-17 5201 HOLLYWOOD BLVD, HOLLYWOOD, FL, 330216422, US 5201 HOLLYWOOD BLVD, HOLLYWOOD, FL, 330216422, US

Contacts
Phone +1 954-716-9114

Authorized person
Name MRS. ILEANA A VILA
Role MEDICAL DOCTOR
Phone 9547169114

Taxonomy
Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PHYSICIANS OF HOLLYWOOD, LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 845134458 2024-04-05 PHYSICIANS OF HOLLYWOOD LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621491
Sponsor’s telephone number 6315231094
Plan sponsor’s address 5201 HOLLYWOOD BLVD, STE 2, HOLLYWOOD, FL, 33021

Signature of
Role Plan administrator
Date 2024-04-05
Name of individual signing JOHN CALLEGARI
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS OF HOLLYWOOD, LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 845134458 2024-04-23 PHYSICIANS OF HOLLYWOOD, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621491
Sponsor’s telephone number 6315231094
Plan sponsor’s address 5201 HOLLYWOOD BLVD, STE 2, HOLLYWOOD, FL, 33021

Signature of
Role Plan administrator
Date 2024-04-23
Name of individual signing JOHN CALLEGARI
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS OF HOLLYWOOD, LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 845134458 2023-04-04 PHYSICIANS OF HOLLYWOOD LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621491
Sponsor’s telephone number 6315231094
Plan sponsor’s address 5201 HOLLYWOOD BLVD, STE 2, HOLLYWOOD, FL, 33021

Signature of
Role Plan administrator
Date 2023-04-04
Name of individual signing JOHN CALLEGARI
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS OF HOLLYWOOD, LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 845134458 2022-05-24 PHYSICIANS OF HOLLYWOOD LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621491
Sponsor’s telephone number 6315231094
Plan sponsor’s address 5201 HOLLYWOOD BLVD, STE 2, HOLLYWOOD, FL, 33021

Signature of
Role Plan administrator
Date 2022-05-24
Name of individual signing JOHN CALLEGARI
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS OF HOLLYWOOD, LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 845134458 2021-06-03 PHYSICIANS OF HOLLYWOOD LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621491
Sponsor’s telephone number 6315231094
Plan sponsor’s address 5201 HOLLYWOOD BLVD, STE 2, HOLLYWOOD, FL, 33021

Signature of
Role Plan administrator
Date 2021-06-03
Name of individual signing JOHN CALLEGARI
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
VAZQUEZ BALBINO Manager 5201 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021
Gonzalez Manuel o President 5201 HOLLYWOOD BLVD FL 2FL-1, Hollywood, FL, 33021
Callegari John o Chief Financial Officer 5201 HOLLYWOOD BLVD FL 2FL-1, Hollywood, FL, 33021
GBBPL REGISTERED AGENTS, LLC Agent 901 PONCE DE LEON BLVD SUITE 303, CORAL GABLES, FL, 33134

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-02-08 5201 HOLLYWOOD BLVD., STE. 2, Hollywood, FL 33021 -
CHANGE OF MAILING ADDRESS 2025-02-08 5201 HOLLYWOOD BLVD., STE. 2, Hollywood, FL 33021 -
REGISTERED AGENT ADDRESS CHANGED 2025-02-08 2525 PONCE DE LEON BLVD SUITE 300, CORAL GABLES, FL 33134 -
LC AMENDMENT 2020-09-14 - -

Documents

Name Date
ANNUAL REPORT 2025-02-08
AMENDED ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-28
LC Amendment 2020-09-14
Florida Limited Liability 2020-03-17

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Companies related by address

7900 NOVA DRIVE SUITE 103, DAVIE, FL, 33324, US

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Date of last update: 03 Apr 2025

Sources: Florida Department of State

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