| Entity Name: | PHYSICIAN SURGICAL NETWORK, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PHYSICIAN SURGICAL NETWORK, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation 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: | 07 Nov 2003 (21 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 19 Nov 2018 (6 years ago) |
| Document Number: | P03000128721 |
| FEI/EIN Number |
593370576
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 12350 NW 39TH STREET, CORAL SPRINGS, FL, 33065, US |
| Address: | 1020 WEST OAK STREET, KISSIMMEE, FL, 34741, US |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649912478 | 2022-04-12 | 2022-04-12 | 831 CORAL RIDGE DR, CORAL SPRINGS, FL, 330714180, US | 7350 SANDLAKE COMMONS BLVD STE 1130, ORLANDO, FL, 328198039, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 954-248-3422 |
| Phone | +1 407-870-1579 |
| Fax | 4078702353 |
Authorized person
| Name | JACOB GITMAN |
| Role | CEO |
| Phone | 9542483422 |
Taxonomy
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALLEN LICHT | Director | 12350 NW 39TH STREET, CORAL SPRINGS, FL, 33065 |
| WELLMED, LLC | Director | 30 N GOULD STREET, SHERIDAN, WY, 82801 |
| ATHENA MEDICAL MANAGEMENT GROUP, LLC | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000171421 | ATENIUM | ACTIVE | 2021-12-27 | 2026-12-31 | - | 1020 WEST OAK STREET, KISSIMMEE, FL, 33741 |
| G19000084058 | ATHENA MEDICAL GROUP | EXPIRED | 2019-08-08 | 2024-12-31 | - | 831 CORAL RIDGE DRIVE, CORAL SPRINGS, FL, 33071 |
| G19000023169 | IV INFUSION TREATMENT CENTER | EXPIRED | 2019-02-15 | 2024-12-31 | - | 831 CORAL RIDGE DRIVE, CORAL SPRINGS, FL, 33071 |
| G18000125695 | CENTRAL FLORIDA ARTHRITIS AND OSTEOPOROSIS CENTER | EXPIRED | 2018-11-27 | 2023-12-31 | - | 1020 WEST OAK ST, KISSIMMEE, FL, 34741 |
| G10000084651 | CENTRAL FLORIDA ARTHRITIS AND OSTEOPOROSIS CENTER | EXPIRED | 2010-09-15 | 2015-12-31 | - | 1020 W OAK STREET, KISSIMMEE, FL, 34741 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-04-14 | 1020 WEST OAK STREET, KISSIMMEE, FL 34741 | - |
| REGISTERED AGENT NAME CHANGED | 2022-04-14 | ATHENA MEDICAL MANAGEMENT GROUP, LLC | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-14 | 12350 NW 39TH STREET, SUITE 200, CORAL SPRINGS, FL 33065 | - |
| NAME CHANGE AMENDMENT | 2018-11-19 | PHYSICIAN SURGICAL NETWORK, INC. | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-02-09 | 1020 WEST OAK STREET, KISSIMMEE, FL 34741 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| AMENDED ANNUAL REPORT | 2023-10-26 |
| ANNUAL REPORT | 2023-04-30 |
| AMENDED ANNUAL REPORT | 2022-06-09 |
| ANNUAL REPORT | 2022-04-14 |
| ANNUAL REPORT | 2021-05-04 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-02-27 |
| Name Change | 2018-11-19 |
| ANNUAL REPORT | 2018-02-21 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5196757305 | 2020-04-30 | 0455 | PPP | 1020 W Oak St, Kissimmee, FL, 34741 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 01 Mar 2025
Sources: Florida Department of State
