| Entity Name: | WESTSIDE OUTPATIENT CENTER, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
WESTSIDE OUTPATIENT CENTER, L.L.C. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 30 Aug 2000 (25 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 03 Dec 2018 (6 years ago) |
| Document Number: | L00000010433 |
| FEI/EIN Number |
651078372
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 460 N. STATE ROAD 7, ROYAL PALM BEACH, FL, 33411, US |
| Mail Address: | 460 N. STATE ROAD 7, ROYAL PALM BEACH, FL, 33411, US |
| ZIP code: | 33411 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003847500 | 2006-07-05 | 2021-07-15 | 460 N STATE ROAD 7, ROYAL PALM BEACH, FL, 334113514, US | 460 N STATE ROAD 7, ROYAL PALM BEACH, FL, 334113514, US | |||||||||||||||||||||||||||||||
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| Phone | +1 561-792-7333 |
| Fax | 5617840312 |
Authorized person
| Name | MISS WENDY A PAOLUCCI |
| Role | BUSINESS OFFICE MANAGER |
| Phone | 5617927333 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | ME53688 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD FL |
| Number | 63A |
| State | FL |
| Issuer | MEDICAID |
| Number | 075145600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MONTIJO HARVEY | Manager | 460 N. STATE ROAD 7, ROYAL PALM BEACH, FL, 33411 |
| YEE GARVIN | Manager | 460 N. STATE ROAD 7, ROYAL PALM BEACH, FL, 33411 |
| Morgan Michael | Agent | 460 N. STATE ROAD 7, ROYAL PALM BEACH, FL, 33411 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G01239900190 | PALMS WELLINGTON SURGICAL CENTER | ACTIVE | 2001-08-27 | 2026-12-31 | - | 460 N STATE ROAD 7, SUITE 100, WEST PALM BEACH, FL, 33411 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-29 | Morgan, Michael | - |
| LC AMENDMENT | 2018-12-03 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-12-03 | 460 N. STATE ROAD 7, ROYAL PALM BEACH, FL 33411 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2006-05-09 | 460 N. STATE ROAD 7, ROYAL PALM BEACH, FL 33411 | - |
| CHANGE OF MAILING ADDRESS | 2006-05-09 | 460 N. STATE ROAD 7, ROYAL PALM BEACH, FL 33411 | - |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2024-02-27 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-11 |
| LC Amendment | 2018-12-03 |
| ANNUAL REPORT | 2018-01-29 |
| ANNUAL REPORT | 2017-02-13 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
