| Entity Name: | PALM BEACH SURGERY CENTER, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PALM BEACH SURGERY CENTER, LLC. 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: |
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: | 28 Oct 2002 (22 years ago) |
| Date of dissolution: | 06 Jan 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 06 Jan 2016 (9 years ago) |
| Document Number: | L02000028573 |
| FEI/EIN Number |
611431700
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1157 SOUTH STATE ROAD 7, WELLINGTON, FL, 33414 |
| Mail Address: | 1157 SOUTH STATE ROAD 7, WELLINGTON, FL, 33414 |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972613545 | 2006-08-30 | 2010-10-08 | 1157 S STATE ROAD 7, WELLINGTON, FL, 334146101, US | 1157 S STATE ROAD 7, WELLINGTON, FL, 334146101, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-795-3330 |
| Fax | 5617951030 |
Authorized person
| Name | KRISHNA TRIPURANENI |
| Role | OWNER |
| Phone | 5617953330 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1185 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | F1412 |
| State | FL |
| Issuer | BCBS |
| Number | 6E5 |
| State | FL |
| Issuer | MEDICAID |
| Number | 075618100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TRIPURANENI KRISHNA | President | 1157 SOUTH STATE ROAD 7, WEST PALM BEACH, FL, 33414 |
| TRIPURANENI KRISHNA | Secretary | 1157 SOUTH STATE ROAD 7, WEST PALM BEACH, FL, 33414 |
| TRIPURANENI KRISHNA | Treasurer | 1157 SOUTH STATE ROAD 7, WEST PALM BEACH, FL, 33414 |
| TRIPURANENI VENKAT | Vice President | 1157 SOUTH STATE ROAD 7, WEST PALM BEACH, FL, 33414 |
| TRIPURANENI KRISHNA | Agent | 1157 SOUTH STATE ROAD 7, WELLINGTON, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-01-06 | - | - |
| LC AMENDMENT | 2014-07-03 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-25 | 1157 SOUTH STATE ROAD 7, WELLINGTON, FL 33414 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-25 | 1157 SOUTH STATE ROAD 7, WELLINGTON, FL 33414 | - |
| CHANGE OF MAILING ADDRESS | 2011-01-25 | 1157 SOUTH STATE ROAD 7, WELLINGTON, FL 33414 | - |
| LC AMENDMENT | 2010-09-13 | - | - |
| AMENDMENT | 2004-05-28 | - | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2016-01-06 |
| ANNUAL REPORT | 2015-01-28 |
| LC Amendment | 2014-07-03 |
| ANNUAL REPORT | 2014-01-30 |
| ANNUAL REPORT | 2013-01-22 |
| ANNUAL REPORT | 2012-01-26 |
| ANNUAL REPORT | 2011-01-25 |
| LC Amendment | 2010-09-13 |
| ANNUAL REPORT | 2010-01-07 |
| ANNUAL REPORT | 2009-01-07 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
