| Entity Name: | SPECIALISTS IN REPRODUCTIVE MEDICINE & SURGERY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 05 Jun 1998 (27 years ago) |
| Document Number: | P98000051451 |
| FEI/EIN Number | 65-0842447 |
| Address: | 12611 WORLD PLAZA LANE, BLDG 53, FORT MYERS, FL 33907 |
| Mail Address: | 12611 WORLD PLAZA LANE, BLDG 53, FORT MYERS, FL 33907 |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144597881 | 2011-11-23 | 2011-11-23 | 12611 WORLD PLAZA LN, BUILDING 53, FORT MYERS, FL, 339073990, US | 12611 WORLD PLAZA LN, BUILDING 53, FORT MYERS, FL, 339073990, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 239-275-8118 |
| Fax | 2392755914 |
Authorized person
| Name | DR. CRAIG R. SWEET |
| Role | PRESIDENT |
| Phone | 2392758118 |
Taxonomy
| Taxonomy Code | 207VE0102X - Reproductive Endocrinology Physician |
| License Number | ME0060184 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 363LW0102X - Women's Health Nurse Practitioner |
| License Number | ARNP9207683 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 56529600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Sweet, Craig R, Dr. | Agent | 12611 World Plaza Lane, Bldg 53, Fort Myers, FL 33907 |
| Name | Role | Address |
|---|---|---|
| SWEET, CRAIG R | M.D. | 12611 WORLD PLAZA LANE, BLDG 53 FORT MYERS, FL 33907 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000035902 | EMBRYO DONATION INTERNATIONAL | EXPIRED | 2010-04-23 | 2015-12-31 | No data | 12611 WORLD PLAZA LANE, FT. MYERS, FL, 33907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-01-14 | Sweet, Craig R, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-14 | 12611 World Plaza Lane, Bldg 53, Fort Myers, FL 33907 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-27 | 12611 WORLD PLAZA LANE, BLDG 53, FORT MYERS, FL 33907 | No data |
| CHANGE OF MAILING ADDRESS | 2012-01-27 | 12611 WORLD PLAZA LANE, BLDG 53, FORT MYERS, FL 33907 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-01-28 |
| ANNUAL REPORT | 2019-01-31 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-19 |
| ANNUAL REPORT | 2016-02-04 |
| ANNUAL REPORT | 2015-02-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
