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HEALTH BOULEVARD SURGICAL CENTER, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
AKERS, JOHN Agent 549 HEALTH BLVD., DAYTONA BEACH, FL 32117

Vice President

Name Role Address
SCHALIT, CURTIS Vice President 549 HEALTH BLVD., DAYTONA BEACH, FL 32114

President

Name Role Address
AKERS, JOHN ODDS President 549 HEALTH BLVD., DAYTONA BEACH, FL 32114

Director

Name Role Address
AKERS, JOHN ODDS Director 549 HEALTH BLVD., DAYTONA BEACH, FL 32114

Events

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

Documents

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