| Entity Name: | PHYSICIAN PARTNERS OF PORT ST. LUCIE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 May 1993 (32 years ago) |
| Document Number: | P93000035203 |
| FEI/EIN Number | 721239580 |
| Address: | 1700 S.E. HILLMOOR DRIVE, SUITE 202, PORT ST. LUCIE, FL, 34952 |
| Mail Address: | 2755 CAMPUS DRIVE, 200, SAN MATEO, CA, 94403, US |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| WERTHEIMER DAVID E | Chairman | 1700 SE HILLMOOR DRIVE #202, PORT ST.LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| WERTHEIMER DAVID E | Director | 1700 SE HILLMOOR DRIVE #202, PORT ST.LUCIE, FL, 34952 |
| SEN SWAPAN | Director | 7 WATERSIDE CROSSING, WINDSOR, CT, 06095 |
| SMITH E. PAYSON J | Director | 2755 CAMPUS DRIVE, SUITE 200, SAN MATEO, CA, 94403 |
| Name | Role | Address |
|---|---|---|
| SEN SWAPAN | President | 7 WATERSIDE CROSSING, WINDSOR, CT, 06095 |
| Name | Role | Address |
|---|---|---|
| SMITH E. PAYSON J | Chief Financial Officer | 2755 CAMPUS DRIVE, SUITE 200, SAN MATEO, CA, 94403 |
| LAWLER JOHN F | Chief Financial Officer | 7 WATERSIDE CROSSING, WINDSOR, CT, 06095 |
| Name | Role | Address |
|---|---|---|
| KOKESH MICHAEL O | Secretary | 2755 CAMPUS DRIVE, SUITE 200, SAN MATEO, CA, 94403 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-21 | No data | No data |
| NAME CHANGE AMENDMENT | 1995-10-30 | PHYSICIAN PARTNERS OF PORT ST. LUCIE, INC. | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
