| Entity Name: | GENERAL SURGICAL CONSULTANTS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Mar 2005 (20 years ago) |
| Date of dissolution: | 24 Dec 2024 (a month ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 24 Dec 2024 (a month ago) |
| Document Number: | P05000033621 |
| FEI/EIN Number | 202461912 |
| Address: | 4010 NW 100TH AVENUE, CORAL SPRINGS, FL, 33065 |
| Mail Address: | 4010 NW 100TH AVENUE, CORAL SPRINGS, FL, 33065 |
| ZIP code: | 33065 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295763209 | 2006-06-29 | 2022-05-03 | 7401 N UNIVERSITY DR STE 103, TAMARAC, FL, 333212933, US | 7401 N UNIVERSITY DR STE 103, TAMARAC, FL, 333212933, US | |||||||||||||||||||||
|
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| Phone | +1 954-341-9771 |
| Fax | 9543419772 |
Authorized person
| Name | JUDITH MITCHELL JOHNSON |
| Role | OWNER |
| Phone | 9543419771 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 370652400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JOHNSON JUDITH | Agent | 4010 NW 100TH AVENUE, CORAL SPRINGS, FL, 33065 |
| Name | Role | Address |
|---|---|---|
| JOHNSON JUDITH | President | 4010 NW 100TH AVENUE, CORAL SPRINGS, FL, 33065 |
| Name | Role | Address |
|---|---|---|
| JOHNSON JUDITH | Secretary | 4010 NW 100TH AVENUE, CORAL SPRINGS, FL, 33065 |
| Name | Role | Address |
|---|---|---|
| JOHNSON JUDITH | Treasurer | 4010 NW 100TH AVENUE, CORAL SPRINGS, FL, 33065 |
| Name | Role | Address |
|---|---|---|
| JOHNSON JUDITH | Vice President | 4010 NW 100TH AVENUE, CORAL SPRINGS, FL, 33065 |
| Name | Role | Address |
|---|---|---|
| JOHNSON JUDITH | Director | 4010 NW 100TH AVENUE, CORAL SPRINGS, FL, 33065 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-12-24 | No data | No data |
| REINSTATEMENT | 2022-04-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-08 | JOHNSON, JUDITH | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-12-24 |
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-28 |
| REINSTATEMENT | 2022-04-08 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-22 |
| ANNUAL REPORT | 2015-04-23 |
| ANNUAL REPORT | 2014-04-22 |
| ANNUAL REPORT | 2013-04-16 |
| ANNUAL REPORT | 2012-04-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
