| Entity Name: | AMBULATORY SURGERY CENTER OF BOCA RATON, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Mar 2011 (14 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 16 Mar 2011 (14 years ago) |
| Document Number: | L11000032821 |
| FEI/EIN Number | 202386540 |
| Mail Address: | 1905 CLINT MOORE ROAD, SUITE 300, BOCA RATON, FL, 33496, US |
| Address: | 1905 CLINT MOORE ROAD, SUITE 300, BOCA RATON, FL, 33496 |
| ZIP code: | 33496 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255486494 | 2007-01-25 | 2011-04-07 | 1905 CLINTMOORE ROAD, SUITE 300, BOCA RATON, FL, 33496, US | 1905 CLINTMOORE ROAD, SUITE 300, BOCA RATON, FL, 33496, US | |||||||||||||||
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| Phone | +1 561-544-5501 |
| Fax | 5615445528 |
Authorized person
| Name | MANISH GUPTA |
| Role | MEDICAL DIRECTOR |
| Phone | 5615445501 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| TRICOLI LAW, PLLC | Agent |
| Name | Role |
|---|---|
| SURGICARE OF BOCA RATON, LLC | Auth |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000017733 | SURGICASE OF BOCA | EXPIRED | 2017-02-17 | 2022-12-31 | No data | 1905 CLINT MOORE ROAD STE 300, BOCA RATON, FL, 33496 |
| G16000127939 | SURGICARE OF BOCA | EXPIRED | 2016-11-29 | 2021-12-31 | No data | 1905 CLINT MOORE RD, SUITE 300, BOCA RATON, FL, 33496 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-04 | Tricoli Law PLLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-04 | 2170 West State Road 434, Suite 130, Longwood, FL 32779 | No data |
| CHANGE OF MAILING ADDRESS | 2019-01-02 | 1905 CLINT MOORE ROAD, SUITE 300, BOCA RATON, FL 33496 | No data |
| CONVERSION | 2011-03-16 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS A04000001900. CONVERSION NUMBER 100000112051 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-03-25 |
| AMENDED ANNUAL REPORT | 2021-10-07 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-06-08 |
| AMENDED ANNUAL REPORT | 2019-03-13 |
| ANNUAL REPORT | 2019-01-02 |
| ANNUAL REPORT | 2018-03-30 |
| ANNUAL REPORT | 2017-04-21 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6415067708 | 2020-05-03 | 0455 | PPP | 1905 CLINT MOORE RD STE 300, BOCA RATON, FL, 33496-2661 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
