| Entity Name: | CARRILLO SURGICAL ASSOCIATES, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Feb 2005 (20 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 27 Jan 2010 (15 years ago) |
| Document Number: | L05000019410 |
| FEI/EIN Number | 383720674 |
| Address: | 3857 RAMBLING ACRES DRIVE, TITUSVILLE, FL, 32796, US |
| Mail Address: | PO BOX 789, TITUSVILLE, FL, 32781-0789, US |
| ZIP code: | 32796 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104871102 | 2006-05-24 | 2014-08-18 | 1311 GARDEN ST, TITUSVILLE, FL, 327963312, US | 1311 GARDEN ST, TITUSVILLE, FL, 327963312, US | |||||||||||||||
|
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| Phone | +1 321-268-0720 |
| Fax | 3213837596 |
Authorized person
| Name | TINA CARRILLO |
| Role | R.N. |
| Phone | 3212680720 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GASSMAN ALAN S | Agent | 1245 COURT ST, STE 102, CLEARWATER, FL, 33756 |
| Name | Role | Address |
|---|---|---|
| CARRILLO CARLOS A | Manager | PO Box 789, Titusville, FL, 32796 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-07 | 3857 RAMBLING ACRES DRIVE, TITUSVILLE, FL 32796 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-30 | 3857 RAMBLING ACRES DRIVE, TITUSVILLE, FL 32796 | No data |
| CANCEL ADM DISS/REV | 2010-01-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CANCEL ADM DISS/REV | 2007-10-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CANCEL ADM DISS/REV | 2006-10-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-20 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-03-28 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-05-13 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-05-26 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
