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GROVE PLACE SURGERY CENTER, L.L.C.

Company Details

Entity Name: GROVE PLACE SURGERY CENTER, L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Feb 2002 (23 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 15 Jun 2016 (9 years ago)
Document Number: L02000004576
FEI/EIN Number 01-0619096
Address: 1325 36th Street, Vero Beach, FL, 32960, US
Mail Address: 1325 36th Street, Vero Beach, FL, 32960, US
ZIP code: 32960
County: Indian River
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326045014 2005-07-07 2020-08-22 1325 36TH ST, VERO BEACH, FL, 329606599, US 1325 36TH ST, VERO BEACH, FL, 329606599, US

Contacts

Phone +1 772-778-3113
Fax 7727783116

Authorized person

Name MR. JOHN GILBERT CONDIT
Role CLINICAL DIRECTOR
Phone 7727783113

Taxonomy

Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
License Number 1167
State FL
Is Primary Yes

Other Provider Identifiers

Issuer BCBS OF FL
Number 6C8
State FL

Central Index Key

CIK number Mailing Address Business Address Phone
1749938 1325 36TH STREET, SUITE B, VERO BEACH, FL, 32960 1325 36TH STREET, SUITE B, VERO BEACH, FL, 32960 772-778-3113

Filings since 2023-04-18

Form type D
File number 021-479226
Filing date 2023-04-18
File View File

Filings since 2021-07-02

Form type D
File number 021-405047
Filing date 2021-07-02
File View File

Filings since 2020-11-05

Form type D
File number 021-379779
Filing date 2020-11-05
File View File

Filings since 2018-08-17

Form type D
File number 021-319546
Filing date 2018-08-17
File View File

Agent

Name Role
C T CORPORATION SYSTEM Agent

Member

Name Role
SCA-GROVE PLACE, LLC Member

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-24 1325 36th Street, Vero Beach, FL 32960 No data
CHANGE OF MAILING ADDRESS 2023-04-24 1325 36th Street, Vero Beach, FL 32960 No data
LC STMNT OF RA/RO CHG 2016-06-15 No data No data
REGISTERED AGENT NAME CHANGED 2016-06-15 C T CORPORATION SYSTEM No data
REGISTERED AGENT ADDRESS CHANGED 2016-06-15 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 No data
AMENDED AND RESTATEDARTICLES/NAME CHANGE 2002-04-09 GROVE PLACE SURGERY CENTER, L.L.C. No data

Documents

Name Date
ANNUAL REPORT 2024-04-20
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-04-05
ANNUAL REPORT 2021-04-22
ANNUAL REPORT 2020-05-27
ANNUAL REPORT 2019-03-19
ANNUAL REPORT 2018-04-09
ANNUAL REPORT 2017-04-12
CORLCRACHG 2016-06-15
ANNUAL REPORT 2016-03-21

Date of last update: 02 Feb 2025

Sources: Florida Department of State