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  5. BRIAN D. KURLAND, M.D., P.A.

BRIAN D. KURLAND, M.D., P.A.

Company Details

Entity Name: BRIAN D. KURLAND, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 19 May 1999 (26 years ago)
Date of dissolution: 07 Mar 2023 (2 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 07 Mar 2023 (2 years ago)
Document Number: P99000045731
FEI/EIN Number 650921133
Address: 13782 PLANTATION RD, SUITE 103, FORT MYERS, FL, 33912, US
Mail Address: P.O. BOX 07160, FORT MYERS, FL, 33919
ZIP code: 33912
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912161670 2008-07-11 2021-08-10 PO BOX 7160, FORT MYERS, FL, 339190160, US 13782 PLANTATION RD STE 103, FORT MYERS, FL, 33912, US

Contacts
Phone +1 239-936-8575
Fax 2399367664

Authorized person
Name DR. BRIAN DANIEL KURLAND
Role OWNER
Phone 2399368575

Taxonomy
Taxonomy Code 208600000X - Surgery Physician
License Number ME66590
State FL
Is Primary No
Taxonomy Code 2086S0129X - Vascular Surgery Physician
License Number ME66590
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BRIAN D. KURLAND, M.D, P.A. 2021 650921133 2022-06-09 BRIAN D. KURLAND, M.D, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-02-01
Business code 621111
Sponsor’s telephone number 2399368575
Plan sponsor’s address 13782 PLANTATION RD SUITE 103, FORT MYERS, FL, 33912

Signature of
Role Plan administrator
Date 2022-06-09
Name of individual signing BRIAN KURLAND
Valid signature Filed with authorized/valid electronic signature
BRIAN D. KURLAND, M.D, P.A. 2020 650921133 2021-09-23 BRIAN D. KURLAND, M.D, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-02-01
Business code 621111
Sponsor’s telephone number 2399368575
Plan sponsor’s address 13782 PLANTATION RD SUITE 103, FORT MYERS, FL, 33912

Signature of
Role Plan administrator
Date 2021-09-23
Name of individual signing BRIAN KURLAND
Valid signature Filed with authorized/valid electronic signature
BRIAN D. KURLAND, M.D, P.A. 2019 650921133 2020-10-13 BRIAN D. KURLAND, M.D, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-02-01
Business code 621111
Sponsor’s telephone number 2399368575
Plan sponsor’s address 13782 PLANTATION RD SUITE 103, FORT MYERS, FL, 33912

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing BRIAN KURLAND
Valid signature Filed with authorized/valid electronic signature
BRIAN D. KURLAND, M.D, P.A. 2018 650921133 2019-08-27 BRIAN D. KURLAND, M.D, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-02-01
Business code 621111
Sponsor’s telephone number 2399368575
Plan sponsor’s address 13782 PLANTATION RD SUITE 103, FORT MYERS, FL, 33912

Signature of
Role Plan administrator
Date 2019-08-27
Name of individual signing BRIAN KURLAND
Valid signature Filed with authorized/valid electronic signature
BRIAN D. KURLAND, M.D, P.A. 2017 650921133 2018-06-14 BRIAN D. KURLAND, M.D, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-02-01
Business code 621111
Sponsor’s telephone number 2399368575
Plan sponsor’s address 13782 PLANTATION RD SUITE 103, FORT MYERS, FL, 33912

Signature of
Role Plan administrator
Date 2018-06-14
Name of individual signing BRIAN KURLAND
Valid signature Filed with authorized/valid electronic signature
BRIAN D. KURLAND, M.D, P.A. 2016 650921133 2017-06-27 BRIAN D. KURLAND, M.D, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-02-01
Business code 621111
Sponsor’s telephone number 2399368575
Plan sponsor’s address 13782 PLANTATION RD SUITE 103, FORT MYERS, FL, 33912

Signature of
Role Plan administrator
Date 2017-06-27
Name of individual signing BRIAN KURLAND
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KURLAND BRIAN DMD Agent 13842 PINE VILLA LANE, FORT MYERS, FL, 33912

President

Name Role Address
KURLAND BRIAN DMD President 13842 PINE VILLA LANE, FORT MYERS, FL, 33912

Secretary

Name Role Address
KURLAND BRIAN DMD Secretary 13842 PINE VILLA LANE, FORT MYERS, FL, 33912

Director

Name Role Address
KURLAND BRIAN DMD Director 13842 PINE VILLA LANE, FORT MYERS, FL, 33912

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G99166900341 VASCULAR AND GENERAL SURGICAL SPECIALISTS OF S.W. FL. EXPIRED 1999-06-16 2024-12-31 No data P.O. BOX 07160, FORT MYERS, FL, 33919

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2023-03-07 No data No data
CHANGE OF PRINCIPAL ADDRESS 2015-01-13 13782 PLANTATION RD, SUITE 103, FORT MYERS, FL 33912 No data
REGISTERED AGENT NAME CHANGED 2014-01-15 KURLAND, BRIAN D., MD No data
REINSTATEMENT 2001-11-08 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2001-09-21 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2023-03-07
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-01-18
ANNUAL REPORT 2020-02-14
ANNUAL REPORT 2019-04-11
ANNUAL REPORT 2018-03-28
ANNUAL REPORT 2017-07-21
ANNUAL REPORT 2016-02-11
ANNUAL REPORT 2015-01-13
ANNUAL REPORT 2014-01-15

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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