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EASTSIDE SURGICAL SERVICES, INC.

Company Details

Entity Name: EASTSIDE SURGICAL SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 01 Aug 2005 (20 years ago)
Date of dissolution: 23 Sep 2011 (13 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2011 (13 years ago)
Document Number: P05000106450
FEI/EIN Number 203244807
Address: 5400 NORTH FEDERAL HIGHWAY, SUITE 102, FT LAUDERDALE, FL, 33308, US
Mail Address: 5400 NORTH FEDERAL HIGHWAY, SUITE 102, FT LAUDERDALE, FL, 33308, US
ZIP code: 33308
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972624344 2007-04-03 2020-08-22 5400 N FEDERAL HWY, SUITE 102, FT LAUDERDALE, FL, 333083201, US 5400 N FEDERAL HWY, SUITE 102, FT LAUDERDALE, FL, 333083201, US

Contacts

Phone +1 954-771-8772
Fax 9547718072

Authorized person

Name DR. LESLIE HARRIS SULTAN
Role ADMINISTRATOR
Phone 9547718772

Taxonomy

Taxonomy Code 261QS0112X - Oral and Maxillofacial Surgery Clinic/Center
License Number 10648
State FL
Is Primary Yes

Agent

Name Role Address
SULTAN LESLIE H Agent 5400 NORTH FEDERAL HIGHWAY, FT LAUDERDALE, FL, 33308

President

Name Role Address
SULTAN LESLIE H President 5400 NORTH FEDERAL HIGHWAY SUITE 102, FT LAUDERDALE, FL, 33308

Vice President

Name Role Address
SULTAN LESLIE H Vice President 5400 NORTH FEDERAL HIGHWAY SUITE 102, FT LAUDERDALE, FL, 33308

Secretary

Name Role Address
SULTAN LESLIE H Secretary 5400 NORTH FEDERAL HIGHWAY SUITE 102, FT LAUDERDALE, FL, 33308

Treasurer

Name Role Address
SULTAN LESLIE H Treasurer 5400 NORTH FEDERAL HIGHWAY SUITE 102, FT LAUDERDALE, FL, 33308

Director

Name Role Address
SULTAN LESLIE Director 5400 NORTH FEDERAL HIGHWAY SUITE 102, FT LAUDERDALE, FL, 33308

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2010-04-22
ANNUAL REPORT 2009-06-17
ANNUAL REPORT 2008-04-30
ANNUAL REPORT 2007-04-29
ANNUAL REPORT 2006-04-24
Domestic Profit 2005-08-01

Date of last update: 01 Feb 2025

Sources: Florida Department of State