| Entity Name: | NEW VISION SURGICAL CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Jun 2009 (16 years ago) |
| Document Number: | L09000057321 |
| FEI/EIN Number | 270354247 |
| Address: | 1055 37TH PLACE, VERO BEACH, FL, 32960 |
| Mail Address: | 1055 37TH PLACE, VERO BEACH, FL, 32960 |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063701977 | 2011-03-31 | 2011-10-03 | 1055 37TH PL, VERO BEACH, FL, 329606551, US | 1055 37TH PL, VERO BEACH, FL, 329606551, US | |||||||||||||||||||||||||
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| Phone | +1 772-257-8700 |
| Fax | 7722578715 |
Authorized person
| Name | DR. PAUL VICTOR MINOTTY |
| Role | MANAGER |
| Phone | 7722578700 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1345 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE ASC IDENTIFICATION NUMBER |
| Number | 10C0001563 |
| State | FL |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 549300S7RMJVKO1D0C79 | L09000057321 | US-FL | GENERAL | ACTIVE | No data | |||||||||||||||||||
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| Legal | C/O Minotty, Paul VMGR, 1055 37th Place, Vero Beach, US-FL, US, 32960 |
| Headquarters | 777 37th Street, Suite D103, Vero Beach, US-FL, US, 32960 |
Registration details
| Registration Date | 2013-03-25 |
| Last Update | 2023-08-04 |
| Status | LAPSED |
| Next Renewal | 2018-03-10 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | L09000057321 |
| Name | Role | Address |
|---|---|---|
| TATE STEPHEN M | Agent | 1055 37TH PLACE, VERO BEACH, FL, 32960 |
| Name | Role | Address |
|---|---|---|
| TATE STEPHEN M | Manager | 1055 37TH PLACE, VERO BEACH, FL, 32960 |
| O'BRIEN DAVID J | Manager | 1055 37TH PLACE, VERO BEACH, FL, 32960 |
| REINAUER ROBERT MJR | Manager | 1055 37TH PLACE, VERO BEACH, FL, 32960 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000128431 | NEW VISION SURGICAL CENTER - PAUL V. MINOTTY, M.D. | EXPIRED | 2009-06-28 | 2014-12-31 | No data | 195 SEASPRAY LANE, VERO BEACH, FL, 32963 |
| G09000127921 | NEW VISION SURGICAL CENTER - PAUL V. MINOTTY, M.D. | EXPIRED | 2009-06-26 | 2014-12-31 | No data | 195 SEASPRAY LANE, VERO BEACH, FL, 32963 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-01-11 | TATE, STEPHEN MERRITT | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-07-21 | 1055 37TH PLACE, VERO BEACH, FL 32960 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-04 | 1055 37TH PLACE, VERO BEACH, FL 32960 | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-04 | 1055 37TH PLACE, VERO BEACH, FL 32960 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-23 |
| ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-01-11 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-02-19 |
| ANNUAL REPORT | 2017-02-17 |
| ANNUAL REPORT | 2016-02-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
