| Entity Name: | BREVARD SURGICAL SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 24 Jan 2011 (14 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L11000009860 |
| FEI/EIN Number | 27-4700082 |
| Address: | 11302 N.W. 31ST ROAD, GAINESVILLE, FL 32606 |
| Mail Address: | 11302 N.W. 31ST ROAD, GAINESVILLE, FL 32606 |
| ZIP code: | 32606 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891085692 | 2011-04-13 | 2011-04-13 | 11302 NW 31ST RD, GAINESVILLE, FL, 326066840, US | 11302 NW 31ST RD, GAINESVILLE, FL, 326066840, US | |||||||||||||||||
|
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| Phone | +1 407-761-7340 |
Authorized person
| Name | MR. BRYAN KEITH STEWART |
| Role | PRESIDENT |
| Phone | 4077617340 |
Taxonomy
| Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
| License Number | PA 9104639 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ANDERSON, J. PATRICK | Agent | 2200 FRONT STREET, SUITE 301, MELBOURNE, FL 32901 |
| Name | Role | Address |
|---|---|---|
| STEWART, BRYAN K | Managing Member | 11302 N.W. 31ST STREET, GAINESVILLE, FL 32606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-02-28 |
| ANNUAL REPORT | 2012-04-18 |
| Florida Limited Liability | 2011-01-24 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
