Entity Name: | HEALTH BOULEVARD SURGICAL CENTER, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 12 Aug 2003 (21 years ago) |
Document Number: | L03000029884 |
FEI/EIN Number | 20-0148749 |
Address: | 549 HEALTH BLVD., DAYTONA BEACH, FL 32114 |
Mail Address: | 549 HEALTH BLVD., DAYTONA BEACH, FL 32114 |
ZIP code: | 32114 |
County: | Volusia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1043319072 | 2006-09-22 | 2008-06-27 | 549 HEALTH BLVD, DAYTONA BEACH, FL, 321141493, US | 549 HEALTH BLVD, DAYTONA BEACH, FL, 321141493, US | |||||||||||||||||
|
Phone | +1 386-252-6438 |
Authorized person
Name | CRAIG MCGRAY |
Role | ADMINISTRATOR |
Phone | 3862526438 |
Taxonomy
Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
License Number | 1188 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
AKERS, JOHN | Agent | 549 HEALTH BLVD., DAYTONA BEACH, FL 32117 |
Name | Role | Address |
---|---|---|
SCHALIT, CURTIS | Vice President | 549 HEALTH BLVD., DAYTONA BEACH, FL 32114 |
Name | Role | Address |
---|---|---|
AKERS, JOHN ODDS | President | 549 HEALTH BLVD., DAYTONA BEACH, FL 32114 |
Name | Role | Address |
---|---|---|
AKERS, JOHN ODDS | Director | 549 HEALTH BLVD., DAYTONA BEACH, FL 32114 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2008-03-06 | AKERS, JOHN | No data |
CHANGE OF PRINCIPAL ADDRESS | 2004-05-14 | 549 HEALTH BLVD., DAYTONA BEACH, FL 32114 | No data |
CHANGE OF MAILING ADDRESS | 2004-05-14 | 549 HEALTH BLVD., DAYTONA BEACH, FL 32114 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-05 |
ANNUAL REPORT | 2023-03-08 |
ANNUAL REPORT | 2022-03-02 |
ANNUAL REPORT | 2021-02-26 |
ANNUAL REPORT | 2020-03-13 |
ANNUAL REPORT | 2019-03-14 |
ANNUAL REPORT | 2018-03-05 |
ANNUAL REPORT | 2017-03-15 |
ANNUAL REPORT | 2016-01-20 |
ANNUAL REPORT | 2015-02-20 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State