| Entity Name: | PROFESSIONAL SURGICAL SERVICES, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Mar 2006 (19 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 01 Oct 2010 (14 years ago) |
| Document Number: | L06000021870 |
| FEI/EIN Number | 204401536 |
| Address: | 8814 NW 180 Terrace, Hialeah, FL, 33018, US |
| Mail Address: | 8814 NW 180 TERRACE, Hialeah, FL, 33018, US |
| ZIP code: | 33018 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033302641 | 2007-08-27 | 2011-12-22 | 8814 NW 180TH TER, HIALEAH, FL, 330186503, US | 8814 NW 180TH TER, HIALEAH, FL, 330186503, US | |||||||||||||||||||||||
|
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| Phone | +1 786-390-4789 |
Authorized person
| Name | NASSER DABIEN |
| Role | PRESIDENT |
| Phone | 7863904789 |
Taxonomy
| Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
| License Number | PA9101660 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 291175200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DABIEN NASSER | Agent | 8814 NW 180 TERRACE, Hialeah, FL, 33018 |
| Name | Role | Address |
|---|---|---|
| DABIEN NASSER | Managing Member | 8814 NW 180 TERRACE, Hialeah, FL, 33018 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-02-02 | 8814 NW 180 Terrace, Hialeah, FL 33018 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-02 | 8814 NW 180 TERRACE, Hialeah, FL 33018 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-02 | 8814 NW 180 Terrace, Hialeah, FL 33018 | No data |
| REINSTATEMENT | 2010-10-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CANCEL ADM DISS/REV | 2007-10-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-11 |
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-03-26 |
| ANNUAL REPORT | 2019-03-22 |
| ANNUAL REPORT | 2018-03-24 |
| ANNUAL REPORT | 2017-02-28 |
| ANNUAL REPORT | 2016-02-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
