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PALMETTO FERTILITY CENTER OF SOUTH FLORIDA, INC.

Company Details

Entity Name: PALMETTO FERTILITY CENTER OF SOUTH FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 09 Jun 1997 (28 years ago)
Date of dissolution: 25 Sep 2015 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (9 years ago)
Document Number: P97000050728
FEI/EIN Number 650768307
Address: 1100 BISCAYNE BLVD, MIAMI, FL, 33132, US
Mail Address: 1100 BISCAYNE BLVD, MIAMI, FL, 33132, US
ZIP code: 33132
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346254158 2006-07-28 2020-08-22 7100 W 20TH AVE, SUITE 205, HIALEAH, FL, 330161897, US 1951 SW 172ND AVE, SUITE 412, MIRAMAR, FL, 330295593, US

Contacts

Phone +1 305-558-0808
Fax 3055580806
Phone +1 954-538-1440
Fax 9544475028

Authorized person

Name DR. MICHAEL DAVID GRAUBERT
Role PRESIDENT
Phone 3055580808

Taxonomy

Taxonomy Code 207VE0102X - Reproductive Endocrinology Physician
License Number 72801
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PALMETTO FERTILITY CENTER OF SOUTH FLORIDA 401(K) PROFIT SHARING PLAN 2012 650768307 2013-02-06 PALMETTO FERTILITY CENTER OF SOUTH FLORIDA, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3055580808
Plan sponsor’s address 7100 WEST 20TH AVENUE, SUITE 205, MIAMI, FL, 33016

Signature of

Role Plan administrator
Date 2013-02-05
Name of individual signing MICHAEL GRAUBERT
Valid signature Filed with authorized/valid electronic signature
PALMETTO FERTILITY CENTER OF SOUTH FLORIDA 401(K) PROFIT SHARING PLAN 2011 650768307 2012-02-07 PALMETTO FERTILITY CENTER OF SOUTH FLORIDA, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3055580808
Plan sponsor’s address 7100 WEST 20TH AVENUE, SUITE 205, MIAMI, FL, 33016

Plan administrator’s name and address

Administrator’s EIN 650768307
Plan administrator’s name PALMETTO FERTILITY CENTER OF SOUTH FLORIDA, INC.
Plan administrator’s address 7100 WEST 20TH AVENUE, SUITE 205, MIAMI, FL, 33016
Administrator’s telephone number 3055580808

Signature of

Role Plan administrator
Date 2012-02-07
Name of individual signing MICHAEL GRAUBERT
Valid signature Filed with authorized/valid electronic signature
PALMETTO FERTILITY CENTER OF SOUTH FLORIDA 401(K) PROFIT SHARING PLAN 2010 650768307 2011-07-05 PALMETTO FERTILITY CENTER OF SOUTH FLORIDA, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3055580808
Plan sponsor’s address 7100 WEST 20TH AVENUE, SUITE 205, MIAMI, FL, 33016

Plan administrator’s name and address

Administrator’s EIN 650768307
Plan administrator’s name PALMETTO FERTILITY CENTER OF SOUTH FLORIDA, INC.
Plan administrator’s address 7100 WEST 20TH AVENUE, SUITE 205, MIAMI, FL, 33016
Administrator’s telephone number 3055580808

Signature of

Role Plan administrator
Date 2011-07-05
Name of individual signing MICHAEL GRAUBERT
Valid signature Filed with authorized/valid electronic signature
PALMETTO FERTILITY CENTER OF SOUTH FLORIDA 401(K) PROFIT SHARING PLAN 2009 650768307 2010-06-23 PALMETTO FERTILITY CENTER OF SOUTH FLORIDA, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3055580808
Plan sponsor’s address 7100 WEST 20TH AVENUE, SUITE 205, MIAMI, FL, 33016

Plan administrator’s name and address

Administrator’s EIN 650768307
Plan administrator’s name PALMETTO FERTILITY CENTER OF SOUTH FLORIDA, INC.
Plan administrator’s address 7100 WEST 20TH AVENUE, SUITE 205, MIAMI, FL, 33016
Administrator’s telephone number 3055580808

Signature of

Role Plan administrator
Date 2010-06-23
Name of individual signing MICHAEL GRAUBERT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GRAUBERT MICHAEL D Agent 1100 BISCAYNE BLVD, MIAMI, FL, 33132

Director

Name Role Address
GRAUBERT MICHAEL M Director 1100 BISCAYNE BLVD, MIAMI, FL, 33132

President

Name Role Address
GRAUBERT MICHAEL M President 1100 BISCAYNE BLVD, MIAMI, FL, 33132

Secretary

Name Role Address
GRAUBERT MICHAEL M Secretary 1100 BISCAYNE BLVD, MIAMI, FL, 33132

Treasurer

Name Role Address
GRAUBERT MICHAEL M Treasurer 1100 BISCAYNE BLVD, MIAMI, FL, 33132

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2014-04-08 1100 BISCAYNE BLVD, UNIT 2501, MIAMI, FL 33132 No data
CHANGE OF MAILING ADDRESS 2014-04-08 1100 BISCAYNE BLVD, UNIT 2501, MIAMI, FL 33132 No data
REGISTERED AGENT ADDRESS CHANGED 2014-04-08 1100 BISCAYNE BLVD, UNIT 2501, MIAMI, FL 33132 No data
REGISTERED AGENT NAME CHANGED 2013-03-26 GRAUBERT, MICHAEL D No data

Documents

Name Date
ANNUAL REPORT 2014-04-08
ANNUAL REPORT 2013-03-26
ANNUAL REPORT 2012-02-21
ANNUAL REPORT 2011-04-15
ANNUAL REPORT 2010-05-03
ANNUAL REPORT 2009-02-23
Reg. Agent Change 2008-06-06
ANNUAL REPORT 2008-02-04
Reg. Agent Change 2007-10-16
ANNUAL REPORT 2007-04-02

Date of last update: 03 Feb 2025

Sources: Florida Department of State