| Entity Name: | SURGERY SPECIALISTS OF SOUTH BROWARD, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 22 Mar 2004 (21 years ago) |
| Date of dissolution: | 12 Dec 2013 (11 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 12 Dec 2013 (11 years ago) |
| Document Number: | P04000051315 |
| FEI/EIN Number | 83-0389769 |
| Address: | 1613 N HARRISON PARKWAY, SUITE 200, SUNRISE, FL 33323 |
| Mail Address: | 1613 N HARRISON PARKWAY, SUITE 200, SUNRISE, FL 33323 |
| ZIP code: | 33323 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205926300 | 2006-10-13 | 2020-08-22 | PO BOX 451985, SUNRISE, FL, 333451985, US | 1951 SW 172ND AVE, #411, MIRAMAR, FL, 330295593, US | |||||||||||||||||||||||||
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| Phone | +1 954-838-2618 |
| Phone | +1 954-450-1617 |
| Fax | 9544508584 |
Authorized person
| Name | LEWIS GOLD |
| Role | PRESIDENT |
| Phone | 9548382371 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 74691 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 S PINE ISLAND RD, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| MARTUS, JAY A | Director | 1613 N HARRISON PARKWAY SUITE 200, SUNRISE, FL 33323 |
| DROZDOW, GILBERT | Director | 1613 N HARRISON PARKWAY SUITE 200, SUNRISE, FL 33323 |
| Name | Role | Address |
|---|---|---|
| DROZDOW, GILBERT | President | 1613 N HARRISON PARKWAY SUITE 200, SUNRISE, FL 33323 |
| Name | Role | Address |
|---|---|---|
| MARTUS, JAY A | Vice President | 1613 N HARRISON PARKWAY SUITE 200, SUNRISE, FL 33323 |
| Name | Role | Address |
|---|---|---|
| MARTUS, JAY A | Secretary | 1613 N HARRISON PARKWAY SUITE 200, SUNRISE, FL 33323 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2013-12-12 | No data | No data |
| VOLUNTARY DISSOLUTION | 2013-12-12 | No data | No data |
| Name | Date |
|---|---|
| Amendment | 2013-12-12 |
| ANNUAL REPORT | 2013-04-11 |
| ANNUAL REPORT | 2012-03-06 |
| ANNUAL REPORT | 2011-04-11 |
| ANNUAL REPORT | 2010-04-19 |
| ANNUAL REPORT | 2009-03-12 |
| ANNUAL REPORT | 2008-04-24 |
| ANNUAL REPORT | 2007-04-30 |
| ANNUAL REPORT | 2006-04-25 |
| ANNUAL REPORT | 2005-03-24 |
Date of last update: 05 Jan 2025
Sources: Florida Department of State
