| Entity Name: | ADVANCED HAND AND PLASTIC SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 May 2005 (20 years ago) |
| Document Number: | L05000044837 |
| FEI/EIN Number | 202800726 |
| Address: | 2318 GREENBRANCH DR, BLDG 2, STE 101-102, WESLEY CHAPEL, FL, 33544, US |
| Mail Address: | 2318 GREENBRANCH DR, BLDG 2, STE 101-102, WESLEY CHAPEL, FL, 33544, US |
| ZIP code: | 33544 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114055142 | 2007-03-01 | 2012-02-13 | PO BOX 198551, ATLANTA, GA, 303848551, US | 2318 GREENBRANCH DR, SUITE 101-102, WESLEY CHAPEL, FL, 335446797, US | |||||||||||||||||||||||||
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| Phone | +1 813-866-4426 |
| Fax | 8139728866 |
Authorized person
| Name | SCOTT S GARGASZ |
| Role | PRESIDENT |
| Phone | 8138664426 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME93069 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 272754400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GARGASZ SCOTT S | Agent | 2318 GREENBRANCH DR, WESLEY CHAPEL, FL, 33544 |
| Name | Role | Address |
|---|---|---|
| GARGASZ SCOTT S | Managing Member | 2318 GREENBRANCH DR, WESLEY CHAPEL, FL, 33544 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2013-01-24 | 2318 GREENBRANCH DR, BLDG 2, STE 101-102, WESLEY CHAPEL, FL 33544 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-03-20 | 2318 GREENBRANCH DR, BLDG 2, STE 101-102, WESLEY CHAPEL, FL 33544 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-03-20 | 2318 GREENBRANCH DR, BLDG 2, STE 101-102, WESLEY CHAPEL, FL 33544 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-05-14 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-03-23 |
| ANNUAL REPORT | 2016-03-26 |
| ANNUAL REPORT | 2015-03-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
