| Entity Name: | PALM COAST SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 20 May 2005 (20 years ago) |
| Date of dissolution: | 10 Mar 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 10 Mar 2020 (5 years ago) |
| Document Number: | L05000050662 |
| FEI/EIN Number | 202890102 |
| Address: | 21 HOSPITAL DRIVE, SUITE 110, PALM COAST, FL, 32164 |
| Mail Address: | 21 HOSPITAL DRIVE, SUITE 110, PALM COAST, FL, 32164 |
| ZIP code: | 32164 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831369610 | 2008-03-07 | 2008-06-09 | 28 OLD KINGS RD N, PALM COAST, FL, 321378226, US | 21 HOSPITAL DRIVE, SUITE 220, PALM COAST, FL, 321642380, US | |||||||||||||||||
|
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| Phone | +1 386-447-4408 |
Authorized person
| Name | JOHN M. RUSSELL |
| Role | PRESIDENT |
| Phone | 3864474440 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | PENDING |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALTER DENNIS T | Agent | 21 HOSPITAL DRIVE, PALM COAST, FL, 32164 |
| Name | Role | Address |
|---|---|---|
| ALTER DENNIS T | Manager | 21 HOSPITAL DRIVE, SUITE 110, PALM COAST, FL, 32164 |
| BROWN STEVEN J | Manager | 21 HOSPITAL DRIVE, SUITE 270, PALM COAST,, FL, 32164 |
| REGAN TERRENCE R | Manager | 21 HOSPITAL DRIVE, SUITE 140, PALM COST, FL, 32164 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-03-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-06-18 | 21 HOSPITAL DRIVE, SUITE 110, PALM COAST, FL 32164 | No data |
| CHANGE OF MAILING ADDRESS | 2010-06-18 | 21 HOSPITAL DRIVE, SUITE 110, PALM COAST, FL 32164 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-06-18 | ALTER, DENNIS TM.D. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-06-18 | 21 HOSPITAL DRIVE, SUITE 110, PALM COAST, FL 32164 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-03-10 |
| ANNUAL REPORT | 2019-03-05 |
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-03-24 |
| ANNUAL REPORT | 2016-04-05 |
| ANNUAL REPORT | 2015-01-20 |
| ANNUAL REPORT | 2014-04-16 |
| ANNUAL REPORT | 2013-03-27 |
| ANNUAL REPORT | 2012-02-20 |
| ANNUAL REPORT | 2011-02-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
