| Entity Name: | SPECTRUM PLASTIC SURGERY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Aug 2020 (5 years ago) |
| Document Number: | L20000238984 |
| FEI/EIN Number | 85-2365516 |
| Address: | 2426 S TAMIAMI TRAIL, SARASOTA, FL, 34239, US |
| Mail Address: | P O BOX 3612, SARASOTA, FL, 34239 |
| ZIP code: | 34239 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528678026 | 2020-08-09 | 2020-08-18 | PO BOX 3612, SARASOTA, FL, 342303612, US | 2426 S TAMIAMI TRL, SARASOTA, FL, 342393842, US | |||||||||||||||||||
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| Phone | +1 507-398-2753 |
| Fax | 9418669024 |
Authorized person
| Name | ALEX SENCHENKOV |
| Role | MD/OWNER |
| Phone | 5073982753 |
Taxonomy
| Taxonomy Code | 2086S0122X - Plastic and Reconstructive Surgery Physician |
| Is Primary | Yes |
| Taxonomy Code | 2086X0206X - Surgical Oncology Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SENCHENKOV ALEX MD | Agent | 6933 LACANTERA CIRCLE, LAKEWOOD RANCH, FL, 34202 |
| Name | Role | Address |
|---|---|---|
| SENCHENKOV ALEX MD | Manager | 6933 LACANTERA CIRCLE, LAKEWOOD RANCH, FL, 34202 |
| LOBOTSKA YELENA | Manager | 6923 LACANTERA CIRCLE, LAKEWOOD RANCH, FL, 34202 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-04-08 |
| ANNUAL REPORT | 2022-02-18 |
| ANNUAL REPORT | 2021-04-10 |
| Florida Limited Liability | 2020-08-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
