Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Duval
    4. ›
  4. 32216
    5. ›
  5. JACKSONVILLE SURGICAL ASSOCIATES, PA

JACKSONVILLE SURGICAL ASSOCIATES, PA

Company Details

Entity Name: JACKSONVILLE SURGICAL ASSOCIATES, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Apr 2016 (9 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 17 Jan 2018 (7 years ago)
Document Number: P16000036441
FEI/EIN Number 20-0446610
Address: 6817 Southpoint Parkway, Jacksonville, FL, 32216, US
Mail Address: 19906 LOXAHATCHEE POINTE DRIVE, JUPITER, FL, 33458
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235230020 2006-09-26 2023-11-01 PO BOX 551695, JACKSONVILLE, FL, 322551695, US 6817 SOUTHPOINT PKWY STE 703, JACKSONVILLE, FL, 322166280, US

Contacts
Phone +1 904-410-3934
Fax 9045034832

Authorized person
Name DR. ROBERT CYWES
Role PRESIDENT
Phone 9044103934

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number ME85894
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 265205600
State FL
Issuer MEDICARE
Number K5489
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACKSONVILLE SURGICAL ASSOCIATES PA RETIREMENT PLAN 2013 200446610 2014-06-03 JACKSONVILLE SURGICAL ASSOCIATES, PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-12-15
Business code 621111
Sponsor’s telephone number 9043994004
Plan sponsor’s address 8825 PERIMETER PARK BLVD STE 101, JACKSONVILLE, FL, 322161127

Signature of
Role Plan administrator
Date 2014-06-03
Name of individual signing ROBERT CYWES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-03
Name of individual signing ROBERT CYWES
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE SURGICAL ASSOCIATES PA RETIREMENT PLAN 2012 200446610 2013-07-23 JACKSONVILLE SURGICAL ASSOCIATES, PA 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-12-15
Business code 621111
Sponsor’s telephone number 9043994004
Plan sponsor’s address 8825 PERIMETER PARK BLVD STE 101, JACKSONVILLE, FL, 322161127

Signature of
Role Plan administrator
Date 2013-07-01
Name of individual signing IRENE WOLFE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-23
Name of individual signing IRENE WOLFE
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE SURGICAL ASSOCIATES PA RETIREMENT PLAN 2011 200446610 2012-07-16 JACKSONVILLE SURGICAL ASSOCIATES, PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-12-15
Business code 621111
Sponsor’s telephone number 9043994004
Plan sponsor’s address 8825 PERIMETER PARK BLVD STE 101, JACKSONVILLE, FL, 322161127

Plan administrator’s name and address
Administrator’s EIN 200446610
Plan administrator’s name JACKSONVILLE SURGICAL ASSOCIATES, PA
Plan administrator’s address 8825 PERIMETER PARK BLVD STE 101, JACKSONVILLE, FL, 322161127
Administrator’s telephone number 9043994004

Signature of
Role Plan administrator
Date 2012-07-16
Name of individual signing IRENE WOLFE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-16
Name of individual signing IRENE WOLFE
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE SURGICAL ASSOCIATES PA RETIREMENT PLAN 2010 200446610 2011-07-05 JACKSONVILLE SURGICAL ASSOCIATES, PA 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-12-15
Business code 621111
Sponsor’s telephone number 9043994004
Plan sponsor’s address 8825 PERIMETER PARK BLVD STE 101, JACKSONVILLE, FL, 322161127

Plan administrator’s name and address
Administrator’s EIN 200446610
Plan administrator’s name JACKSONVILLE SURGICAL ASSOCIATES, PA
Plan administrator’s address 8825 PERIMETER PARK BLVD STE 101, JACKSONVILLE, FL, 322161127
Administrator’s telephone number 9043994004

Signature of
Role Plan administrator
Date 2011-07-05
Name of individual signing IRENE WOLFE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-05
Name of individual signing IRENE WOLFE
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE SURGICAL ASSOCIATES PA RETIREMENT PLAN 2009 200446610 2010-07-07 JACKSONVILLE SURGICAL ASSOCIATES, PA 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-12-15
Business code 621111
Sponsor’s telephone number 9043994004
Plan sponsor’s address 8825 PERIMETER PARK BLVD STE 101, JACKSONVILLE, FL, 322161127

Plan administrator’s name and address
Administrator’s EIN 200446610
Plan administrator’s name JACKSONVILLE SURGICAL ASSOCIATES, PA
Plan administrator’s address 8825 PERIMETER PARK BLVD STE 101, JACKSONVILLE, FL, 322161127
Administrator’s telephone number 9043994004

Signature of
Role Plan administrator
Date 2010-07-07
Name of individual signing IRENE WOLFE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-07
Name of individual signing IRENE WOLFE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CYWES ROBERT Agent 19906 LOXAHATCHEE POINTE DRIVE, JUPITER, FL, 33458

President

Name Role Address
CYWES ROBERT President 19906 LOXAHATCHEE POINTE DRIVE, JUPITER, FL, 33458

Chief Operating Officer

Name Role Address
cywes Janae Chief Operating Officer 19906 LOXAHATCHEE POINTE DR, Jupiter, FL, 33458

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-03-02 6817 Southpoint Parkway, STE 703, Jacksonville, FL 32216 No data
REINSTATEMENT 2018-01-17 No data No data
REGISTERED AGENT NAME CHANGED 2018-01-17 CYWES, ROBERT No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J19000181758 LAPSED 502018CA007403XXXXMB 15TH JUDICIAL CIRCUIT PALM BEA 2019-03-12 2024-03-14 $114,677.39 VALLEY NATIONAL BANK, 1700 PALM BEACH LAKES BLVD,, STE 1000, WEST PALM BEACH, FL 33401

Documents

Name Date
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-01-20
ANNUAL REPORT 2021-03-02
ANNUAL REPORT 2020-03-09
ANNUAL REPORT 2019-02-25
REINSTATEMENT 2018-01-17
Domestic Profit 2016-04-22

Related by officers

CYWES ROBERT

NEW ERA DIABETES SOLUTIONS, INC. JACKSONVILLE SURGICAL ASSOCIATES, P.A.

Related by address

6817 Southpoint Parkway, Jacksonville, FL, 32216, US

INITUS OPPORTUNITY FUND I, LLC DIGITAL1010 LLC WGR HOLDINGS BROWARD, LLC THE EMPOWERMENT FINANCIAL GROUP, LLC HARTMAN, BLITCH & GARTSIDE CPAS, LLC CARDIACVISION TELEHEALTH, PLLC ADAM M. ROBINSON, CPA, P.A.

Date of last update: 01 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated