| Entity Name: | PRESIDENTIAL SURGICENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PRESIDENTIAL SURGICENTER, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 27 Sep 1984 (41 years ago) |
| Date of dissolution: | 10 Oct 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 10 Oct 2021 (4 years ago) |
| Document Number: | H22959 |
| FEI/EIN Number |
592446290
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1501 Presidential Way, West Palm Beach, FL, 33401, US |
| Mail Address: | 5057 S congress ave, suite 403, lake worth, FL, 33461, US |
| ZIP code: | 33401 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134202740 | 2006-10-24 | 2018-10-04 | 1501 PRESIDENTIAL WAY, SUITE #9, WEST PALM BEACH, FL, 33401, US | 1501 PRESIDENTIAL WAY, SUITE #9, WEST PALM BEACH, FL, 33401, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-689-7255 |
| Fax | 5616837342 |
Authorized person
| Name | JAY S. WALLSHEIN |
| Role | PRESIDENT |
| Phone | 5616897255 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 921 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | 490000914 |
| State | FL |
| Issuer | MEDICAID |
| Number | 079229200 |
| State | FL |
| Issuer | BC BS FL |
| Number | 61C |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Wallshein Jay M.D. | President | 1501 PRESIDENTIAL WAY, UNIT #9, WEST PALM BEACH, FL, 33401 |
| Wallshein Jay SMD | Agent | 1501 PRESIDENTIAL WAY, WEST PALM BEACH, FL, 33401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-10-10 | - | - |
| CHANGE OF MAILING ADDRESS | 2020-01-27 | 1501 Presidential Way, Suite # 9, West Palm Beach, FL 33401 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-06-18 | 1501 Presidential Way, Suite # 9, West Palm Beach, FL 33401 | - |
| REGISTERED AGENT NAME CHANGED | 2018-06-18 | Wallshein, Jay S, MD | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J21000449953 | ACTIVE | 502021CC002026X | PALM BEACH COUNTY COURT CLERK | 2021-08-10 | 2026-09-08 | $10,578.04 | HENRY SCHEIN, INC., 5 HARBOR PARK DRIVE, PT WASHINGTON NY, 10249 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-10-10 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-27 |
| ANNUAL REPORT | 2019-03-14 |
| ANNUAL REPORT | 2018-06-18 |
| AMENDED ANNUAL REPORT | 2017-10-17 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-02-09 |
| ANNUAL REPORT | 2015-02-10 |
| ANNUAL REPORT | 2014-01-14 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
