Search icon

SANDERS SURGICAL CONSULTANTS, P.A.

Company Details

Entity Name: SANDERS SURGICAL CONSULTANTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 Jun 2008 (17 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 02 Feb 2023 (2 years ago)
Document Number: P08000053910
FEI/EIN Number 262729242
Address: 433 Wedgeworth Ln, Deland, FL, 32724, US
Mail Address: 433 Wedgeworth Ln, Deland, FL, 32724, US
ZIP code: 32724
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740777820 2018-04-16 2019-04-08 3601 NW FEDERAL HWY, JENSEN BEACH, FL, 349573676, US 3601 NW FEDERAL HWY, JENSEN BEACH, FL, 349573676, US

Contacts

Phone +1 772-631-6512
Fax 7729258651

Authorized person

Name DOUGLAS WILLIS SANDERS
Role OWNER/PHYICIAN
Phone 7726316512

Taxonomy

Taxonomy Code 208600000X - Surgery Physician
Is Primary Yes

Agent

Name Role Address
SANDERS DOUGLAS Agent 433 Wedgeworth ln, Deland, FL, 32724

President

Name Role Address
SANDERS DOUGLAS President 433 Wedgeworth Ln, Deland, FL, 32724

Vice President

Name Role Address
SANDERS DOUGLAS Vice President 433 Wedgeworth Ln, Deland, FL, 32724

Secretary

Name Role Address
SANDERS DOUGLAS Secretary 433 Wedgeworth Ln, Deland, FL, 32724

Treasurer

Name Role Address
SANDERS DOUGLAS Treasurer 433 Wedgeworth Ln, Deland, FL, 32724

Director

Name Role Address
SANDERS DOUGLAS Director 433 Wedgeworth Ln, Deland, FL, 32724

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-02-02 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2020-06-10 433 Wedgeworth Ln, Deland, FL 32724 No data
REGISTERED AGENT NAME CHANGED 2020-06-05 SANDERS, DOUGLAS No data
REGISTERED AGENT ADDRESS CHANGED 2020-06-05 433 Wedgeworth ln, Deland, FL 32724 No data
REINSTATEMENT 2020-06-05 No data No data
CHANGE OF MAILING ADDRESS 2020-06-05 433 Wedgeworth Ln, Deland, FL 32724 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data

Documents

Name Date
ANNUAL REPORT 2024-05-01
REINSTATEMENT 2023-02-02
REINSTATEMENT 2020-06-05
ANNUAL REPORT 2018-03-27
ANNUAL REPORT 2017-04-30
ANNUAL REPORT 2016-09-08
ANNUAL REPORT 2015-02-28
ANNUAL REPORT 2014-04-28
ANNUAL REPORT 2013-05-23
ANNUAL REPORT 2012-05-01

Date of last update: 01 Jan 2025

Sources: Florida Department of State