| Entity Name: | THE SURGERY CENTER AT JENSEN BEACH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
THE SURGERY CENTER AT JENSEN BEACH, 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: |
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: | 14 May 2003 (22 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 21 Mar 2014 (11 years ago) |
| Document Number: | L03000017328 |
| FEI/EIN Number |
651198731
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 14201 Dallas Parkway, Dallas, TX, 75254, US |
| Mail Address: | 14201 Dallas Parkway, Dallas, TX, 75254, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093772840 | 2006-04-26 | 2023-02-27 | 3995 NW GOLDEN ROD ROAD, JENSEN BEACH, FL, 34957, US | 3995 NW GOLDEN ROD ROAD, JENSEN BEACH, FL, 34957, US | |||||||||||||||||||||||||
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| Phone | +1 772-497-0020 |
| Fax | 7724970021 |
Authorized person
| Name | COLLIN LEMAISTRE |
| Role | OFFICER/AUTHORIZED OFFICAL |
| Phone | 2142130723 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1197 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 075781100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Bowden James | Secretary | 14201 Dallas Parkway, Dallas, TX, 75254 |
| NATIONAL SURGERY CENTER HOLDINGS, INC. | Managing Member | - |
| C T CORPORATION SYSTEM | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-20 | 14201 Dallas Parkway, Dallas, TX 75254 | - |
| CHANGE OF MAILING ADDRESS | 2020-06-20 | 14201 Dallas Parkway, Dallas, TX 75254 | - |
| LC STMNT OF RA/RO CHG | 2014-03-21 | - | - |
| REGISTERED AGENT NAME CHANGED | 2014-03-21 | C T CORPORATION SYSTEM | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-03-21 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | - |
| LC AMENDMENT | 2013-10-04 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-02 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2020-06-20 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-03-30 |
| ANNUAL REPORT | 2017-04-17 |
| ANNUAL REPORT | 2016-04-07 |
| ANNUAL REPORT | 2015-04-13 |
Date of last update: 03 Mar 2025
Sources: Florida Department of State
