| Entity Name: | FORT LAUDERDALE MEDICAL SURGICAL ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FORT LAUDERDALE MEDICAL SURGICAL ASSOCIATES, INC. 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: | 20 Aug 2008 (17 years ago) |
| Document Number: | P08000077526 |
| FEI/EIN Number |
263508290
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2301 WILTON DR, STE C-2, WILTON MANOR, FL, 33305 |
| Mail Address: | 2301 WILTON DR, STE C-2, WILTON MANOR, FL, 33305 |
| ZIP code: | 33305 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134473663 | 2012-11-06 | 2012-12-07 | 2301 WILTON DR, SUITE C2, WILTON MANORS, FL, 333051202, US | 2301 WILTON DR, SUITE C2, WILTON MANORS, FL, 333051202, US | |||||||||||||||||||||||||||||
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| Phone | +1 954-567-5898 |
| Fax | 9545670395 |
Authorized person
| Name | TIMOTHY GOSHEN |
| Role | OWNER |
| Phone | 9545675898 |
Taxonomy
| Taxonomy Code | 208C00000X - Colon & Rectal Surgery Physician |
| License Number | OS8504 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 266516600 |
| State | FL |
| Issuer | MEDICARE |
| Number | 57739 |
| Name | Role | Address |
|---|---|---|
| GOSHEN TIMOTHY | Director | 2301 WILTON DR, STE C-2, WILTON MANOR, FL, 33305 |
| WHITTAKER LAURIE S. | Agent | 15251 NE 18 AVE., STE. 11, NORTH MIAMI BEACH, FL, 33162 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000100476 | FORT LAUDERDALE MEDICAL SURGICAL ASSOCIATES | ACTIVE | 2009-04-24 | 2029-12-31 | - | 2301 WILTON DR, C 2, SUITE C-2, WILTON MANORS, FL, 33305 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-11-19 | 2301 WILTON DR, STE C-2, WILTON MANOR, FL 33305 | - |
| CHANGE OF MAILING ADDRESS | 2009-11-19 | 2301 WILTON DR, STE C-2, WILTON MANOR, FL 33305 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-02-06 |
| ANNUAL REPORT | 2021-02-07 |
| ANNUAL REPORT | 2020-03-31 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-03-02 |
| ANNUAL REPORT | 2016-02-04 |
| ANNUAL REPORT | 2015-03-30 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3121557202 | 2020-04-16 | 0455 | PPP | 231 Wilton Drive, FORT LAUDERDALE, FL, 33305 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
