| Entity Name: | SOUTHWEST FLORIDA FACIAL PLASTIC SURGERY ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Jan 2003 (22 years ago) |
| Date of dissolution: | 01 Nov 2021 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 01 Nov 2021 (3 years ago) |
| Document Number: | P03000004963 |
| FEI/EIN Number | 141866563 |
| Address: | 9407 CYPRESS LAKE DRIVE, SUITE A, FORT MYERS, FL, 33919, US |
| Mail Address: | 9407 CYPRESS LAKE DRIVE, SUITE A, FORT MYERS, FL, 33919, US |
| ZIP code: | 33919 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245481597 | 2008-10-06 | 2014-05-20 | 9407 CYPRESS LAKE DR STE A, FORT MYERS, FL, 339190910, US | 9407 CYPRESS LAKE DR STE A, FORT MYERS, FL, 339190910, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 239-473-7390 |
Authorized person
| Name | DR. STEPHEN A PRENDIVILLE |
| Role | PRESIDENT |
| Phone | 2394373900 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME81906 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PRENDIVILLE STEPHEN A | Agent | 9407 CYPRESS LAKE DRIVE, SUITE A, FORT MYERS, FL, 33919 |
| Name | Role | Address |
|---|---|---|
| PRENDIVILLE STEPHEN A | Director | 9407 CYPRESS LAKE DRIVE, SUITE A, FORT MYERS, FL, 33919 |
| Name | Role | Address |
|---|---|---|
| PRENDIVILLE STEPHEN A | President | 9407 CYPRESS LAKE DRIVE, SUITE A, FORT MYERS, FL, 33919 |
| Name | Role | Address |
|---|---|---|
| PRENDIVILLE STEPHEN A | Secretary | 9407 CYPRESS LAKE DRIVE, SUITE A, FORT MYERS, FL, 33919 |
| Name | Role | Address |
|---|---|---|
| PRENDIVILLE STEPHEN A | Treasurer | 9407 CYPRESS LAKE DRIVE, SUITE A, FORT MYERS, FL, 33919 |
| Name | Role | Address |
|---|---|---|
| PRENDIVILLE TEHJAN | Vice President | 9407 CYPRESS LAKE DRIVE, SUITE A, FORT MYERS, FL, 33919 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-11-01 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-12 | 9407 CYPRESS LAKE DRIVE, SUITE A, FORT MYERS, FL 33919 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-12 | 9407 CYPRESS LAKE DRIVE, SUITE A, FORT MYERS, FL 33919 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-12 | 9407 CYPRESS LAKE DRIVE, SUITE A, FORT MYERS, FL 33919 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-02-25 | PRENDIVILLE, STEPHEN A | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-11-01 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-03-20 |
| ANNUAL REPORT | 2017-02-06 |
| ANNUAL REPORT | 2016-04-01 |
| AMENDED ANNUAL REPORT | 2015-10-07 |
| ANNUAL REPORT | 2015-04-20 |
| ANNUAL REPORT | 2014-04-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
