| Entity Name: | FORT LAUDERDALE SURGICAL SPECIALISTS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FORT LAUDERDALE SURGICAL SPECIALISTS, P.A. 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: | 15 Jun 2005 (20 years ago) |
| Document Number: | P05000086094 |
| FEI/EIN Number |
510546134
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5645 CORAL RIDGE DRIVE, #348, Coral Springs, FL, 33076, US |
| Mail Address: | 5645 CORAL RIDGE DRIVE, #348, PARKLAND, FL, 33076, US |
| ZIP code: | 33076 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679665129 | 2006-09-29 | 2007-09-18 | 4801 N FEDERAL HWY, SUITE 101, FORT LAUDERDALE, FL, 333084618, US | 4801 N FEDERAL HWY, SUITE 101, FORT LAUDERDALE, FL, 333084618, US | |||||||||||||||||||||||||
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| Phone | +1 954-202-0242 |
| Fax | 9542020243 |
Authorized person
| Name | JONATHAN SCOTT LEVINE |
| Role | OWNER/ PRESIDENT |
| Phone | 9542020242 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| License Number | ME42654 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 374861800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Levine Jonathan S | President | 5645 CORAL RIDGE DRIVE, Coral Springs, FL, 33076 |
| Levine Jonathan S | Director | 5645 CORAL RIDGE DRIVE, Coral Springs, FL, 33076 |
| Levine Jonathan S | Agent | 5645 CORAL RIDGE DRIVE, Coral Springs, FL, 33076 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-07 | 5645 CORAL RIDGE DRIVE, #348, Coral Springs, FL 33076 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-07 | 5645 CORAL RIDGE DRIVE, #348, Coral Springs, FL 33076 | - |
| CHANGE OF MAILING ADDRESS | 2023-01-03 | 5645 CORAL RIDGE DRIVE, #348, Coral Springs, FL 33076 | - |
| REGISTERED AGENT NAME CHANGED | 2014-06-09 | Levine, Jonathan S | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-02-16 |
| ANNUAL REPORT | 2021-02-18 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-02-27 |
| ANNUAL REPORT | 2018-09-03 |
| ANNUAL REPORT | 2017-02-16 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-01-12 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2828507110 | 2020-04-11 | 0455 | PPP | 11155 Meridian Drive South, POMPANO BEACH, FL, 33076-4598 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
