| Entity Name: | SW FLORIDA MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Aug 2020 (4 years ago) |
| Document Number: | L20000242942 |
| FEI/EIN Number | 85-2902041 |
| Address: | 3637 Del Prado Blvd S, Cape Coral, FL, 33904, US |
| Mail Address: | 3637 Del Prado Blvd S, Cape Coral, FL, 33904, US |
| ZIP code: | 33904 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558969139 | 2020-10-15 | 2021-10-27 | 3637 DEL PRADO BLVD S STE 305, CAPE CORAL, FL, 339047199, US | 3637 DEL PRADO BLVD S STE 305, CAPE CORAL, FL, 339047199, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 239-269-8767 |
Authorized person
| Name | TOMAS TOLEDO |
| Role | PRESIDENT |
| Phone | 2392698767 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DOMINGUEZ ELLERY | Agent | 3637 Del Prado Blvd S, Cape Coral, FL, 33904 |
| Name | Role | Address |
|---|---|---|
| Dominguez Ellery | Manager | 622 SE 33rd St, Cape Coral, FL, 33904 |
| TOLEDO TOMAS | Manager | 1403 SE 19TH ST, CAPE CORAL, FL, 33990 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-27 | 3637 Del Prado Blvd S, Suite 305, Cape Coral, FL 33904 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-27 | 3637 Del Prado Blvd S, Suite 305, Cape Coral, FL 33904 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-27 | 3637 Del Prado Blvd S, Suite 305, Cape Coral, FL 33904 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-01-27 |
| Florida Limited Liability | 2020-08-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
