Entity Name: | SKILLED PHYSICIANS INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 10 Oct 2011 (13 years ago) |
Date of dissolution: | 21 Dec 2015 (9 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 21 Dec 2015 (9 years ago) |
Document Number: | P11000088652 |
FEI/EIN Number | 900776922 |
Address: | 4650 LIPSCOMB ST NE, PALM BAY, FL, 32905, US |
Mail Address: | PO BOX 61615, PALM BAY, FL, 32906-1615, US |
ZIP code: | 32905 |
County: | Brevard |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1598025967 | 2012-05-20 | 2015-12-31 | 810 WAVECREST AVE, INDIALANTIC, FL, 329033233, US | 810 WAVECREST AVE, INDIALANTIC, FL, 329033233, US | |||||||||||||
|
Phone | +1 321-676-2008 |
Authorized person
Name | DR. MELANIE ROTENBERG |
Role | PRESIDENT |
Phone | 3216762008 |
Taxonomy
Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
Is Primary | Yes |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
SKILLED PHYSICIANS INC. 401(K) PROFIT SHARING PLAN | 2015 | 900776922 | 2016-07-08 | SKILLED PHYSICIANS INC. | 5 | |||||||||||||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2016-07-08 |
Name of individual signing | MELANIE ROTENBERG |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2016-07-08 |
Name of individual signing | MELANIE ROTENBERG |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2013-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 3213272274 |
Plan sponsor’s address | P.O. BOX 61615, PALM BAY, FL, 32906 |
Signature of
Role | Plan administrator |
Date | 2015-04-06 |
Name of individual signing | MELANIE ROTENBERG |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2015-04-06 |
Name of individual signing | MELANIE ROTENBERG |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2013-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 3213272274 |
Plan sponsor’s address | P.O. BOX 61615, PALM BAY, FL, 32906 |
Signature of
Role | Plan administrator |
Date | 2014-03-27 |
Name of individual signing | MELANIE ROTENBERG |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2014-03-27 |
Name of individual signing | MELANIE ROTENBERG |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
ROTENBERG MELANIE W | Agent | 4650 LIPSCOMB ST NE, PALM BAY, FL, 32905 |
Name | Role | Address |
---|---|---|
ROTENBERG MELANIE W | President | 4650 LIPSCOMB ST NE, PALM BAY, FL, 32905 |
Name | Role | Address |
---|---|---|
Rotenberg Morris OPhd | Secretary | 4650 LIPSCOMB ST NE, PALM BAY, FL, 32905 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2015-12-21 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2013-04-14 | 4650 LIPSCOMB ST NE, SUITE 14, PALM BAY, FL 32905 | No data |
CHANGE OF MAILING ADDRESS | 2013-04-14 | 4650 LIPSCOMB ST NE, SUITE 14, PALM BAY, FL 32905 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2013-04-14 | 4650 LIPSCOMB ST NE, SUITE 14, PALM BAY, FL 32905 | No data |
Name | Date |
---|---|
VOLUNTARY DISSOLUTION | 2015-12-21 |
ANNUAL REPORT | 2015-04-17 |
ANNUAL REPORT | 2014-01-08 |
ANNUAL REPORT | 2013-04-14 |
ANNUAL REPORT | 2012-04-12 |
Domestic Profit | 2011-10-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State