| Entity Name: | AMBULATORY SURGICAL CARE, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Sep 2008 (16 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 04 Oct 2010 (14 years ago) |
| Document Number: | L08000087808 |
| FEI/EIN Number | 593082994 |
| Address: | 1045 N COURTNEY PARKWAY, MERRITT ISLAND, FL, 32953 |
| Mail Address: | 1045 N COURTNEY PARKWAY, MERRITT ISLAND, FL, 32953 |
| ZIP code: | 32953 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750313144 | 2006-07-07 | 2013-05-20 | 1045 N COURTENAY PKWY, MERRITT ISLAND, FL, 329534531, US | 1045 N COURTENAY PKWY, MERRITT ISLAND, FL, 329534531, US | |||||||||||||||||||||||||||||||
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| Phone | +1 321-453-3937 |
| Fax | 3214525404 |
Authorized person
| Name | MR. RICK HARRIS |
| Role | ADMINISTRATOR |
| Phone | 3214533937 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 849 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC/BS PROVIDER NUMBER |
| Number | 61L |
| State | FL |
| Issuer | MEDICAID |
| Number | 079072900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AGGARWAL MUKESH C | Agent | 1045 N COURTNEY PARKWAY, MERRITT ISLAND, FL, 32953 |
| Name | Role | Address |
|---|---|---|
| AGGARWAL MUKESH C | Manager | 1045 N COURTNEY PARKWAY, MERRITT ISLAND, FL, 32953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2010-10-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| MERGER | 2008-09-15 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 500000090225 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-05-04 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-02-03 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
