Entity Name: | SURGICAL ASSISTANT SOLUTIONS, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 07 Apr 2009 (16 years ago) |
Date of dissolution: | 24 Sep 2021 (3 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 24 Sep 2021 (3 years ago) |
Document Number: | L09000033653 |
FEI/EIN Number | 264638050 |
Address: | 4096 Lonicera Loop, Saint Johns, FL, 32259, US |
Mail Address: | 4096 Lonicera Loop, Saint Johns, FL, 32259, US |
ZIP code: | 32259 |
County: | St. Johns |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1669616165 | 2009-04-28 | 2015-10-13 | 1100 NE 45TH ST, SUITE 102, OAKLAND PARK, FL, 333343814, US | 1100 NE 45TH ST, SUITE 102, OAKLAND PARK, FL, 333343814, US | |||||||||||||||||||
|
Phone | +1 954-629-0250 |
Authorized person
Name | JOHN W BOOHER |
Role | CO OWNER |
Phone | 9546290250 |
Taxonomy
Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BC BS FL |
Number | Y04T2 |
State | FL |
Name | Role | Address |
---|---|---|
BOOHER JOHN W | Agent | 4096 Lonicera Loop, Saint Johns, FL, 32259 |
Name | Role | Address |
---|---|---|
BOOHER JOHN W | Managing Member | 4096 Lonicera Loop, Saint Johns, FL, 32259 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2020-01-23 | 4096 Lonicera Loop, Saint Johns, FL 32259 | No data |
CHANGE OF MAILING ADDRESS | 2020-01-23 | 4096 Lonicera Loop, Saint Johns, FL 32259 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2020-01-23 | 4096 Lonicera Loop, Saint Johns, FL 32259 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2020-01-23 |
ANNUAL REPORT | 2019-02-27 |
ANNUAL REPORT | 2018-04-10 |
ANNUAL REPORT | 2017-02-07 |
ANNUAL REPORT | 2016-01-25 |
ANNUAL REPORT | 2015-01-14 |
ANNUAL REPORT | 2014-01-21 |
ANNUAL REPORT | 2013-03-27 |
ANNUAL REPORT | 2012-01-04 |
ANNUAL REPORT | 2011-01-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State