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PALMETTO LAKES SURGICAL CENTER, LLC

Company Details

Entity Name: PALMETTO LAKES SURGICAL CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 16 Dec 2008 (16 years ago)
Document Number: L08000114532
FEI/EIN Number 943459481
Address: 2100 WEST 76 STREET, SUITE 101, HIALEAH, FL, 33016, US
Mail Address: 2100 West 76 St, suite 101, Hialeah, FL, 33016, US
ZIP code: 33016
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922335900 2009-11-11 2023-09-28 2100 WEST 76TH ST, SUITE 101, HIALEAH, FL, 330165539, US 2100 WEST 76TH ST, SUITE 101, HIALEAH, FL, 330165539, US

Contacts

Phone +1 305-403-2560
Fax 3053593281

Authorized person

Name DAMARYS VEGA
Role ADMINISTRATOR
Phone 3054032560

Taxonomy

Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
License Number APPLIED FOR
State FL
Is Primary Yes

Agent

Name Role Address
VEGA DAMARYS E Agent 2100 West 76 St, Hialeah, FL, 33016

Managing Member

Name Role
DAMAND ENTERPRISES LLC Managing Member

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2019-03-20 2100 WEST 76 STREET, SUITE 101, HIALEAH, FL 33016 No data
REGISTERED AGENT ADDRESS CHANGED 2019-03-20 2100 West 76 St, suite 101, Hialeah, FL 33016 No data
REGISTERED AGENT NAME CHANGED 2010-04-28 VEGA, DAMARYS E No data

Documents

Name Date
ANNUAL REPORT 2024-03-05
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-04-27
ANNUAL REPORT 2019-03-20
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-05-01
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-04-29

Date of last update: 01 Feb 2025

Sources: Florida Department of State