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PONTE VEDRA BEACH SURGERY CENTER, LLC - Florida Company Profile

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Company Details

Entity Name: PONTE VEDRA BEACH SURGERY CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 18 May 2012 (13 years ago)
Date of dissolution: 25 Sep 2015 (10 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (10 years ago)
Document Number: L12000067542
FEI/EIN Number 45-5325821
Address: 1030 A1A NORTH, PONTE VEDRA BEACH, FL, 32082
Mail Address: 1030 A1A NORTH, PONTE VEDRA BEACH, FL, 32082
ZIP code: 32082
City: Ponte Vedra Beach
County: St. Johns
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HARRIS JOHN BDr. Medi 1030 A1A NORTH, PONTE VEDRA BEACH, FL, 32082
- Agent -

National Provider Identifier

NPI Number:
1093077257

Authorized Person:

Name:
DR. JOHN BORGESON HARRIS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
9042853931

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-01-01 1030 A1A NORTH, PONTE VEDRA BEACH, FL 32082 -
CHANGE OF MAILING ADDRESS 2025-01-01 1030 A1A NORTH, PONTE VEDRA BEACH, FL 32082 -
CHANGE OF MAILING ADDRESS 2024-01-01 1030 A1A NORTH, PONTE VEDRA BEACH, FL 32082 -
CHANGE OF PRINCIPAL ADDRESS 2024-01-01 1030 A1A NORTH, PONTE VEDRA BEACH, FL 32082 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 - -
REGISTERED AGENT NAME CHANGED 2015-04-14 CORPDIRECT AGENTS, INC -
REGISTERED AGENT ADDRESS CHANGED 2015-04-14 1200 South Pine Island Road, MIAMI, FL 33324 -
MERGER 2013-04-29 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 300000131163
LC NAME CHANGE 2012-08-20 PONTE VEDRA BEACH SURGERY CENTER, LLC -

Documents

Name Date
ANNUAL REPORT 2014-02-26
ANNUAL REPORT 2013-01-17
LC Name Change 2012-08-20
Florida Limited Liability 2012-05-18

USAspending Awards / Financial Assistance

Date:
2020-07-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

OSHA's Inspections within Industry

Inspection Summary

Date:
2012-10-02
Type:
Planned
Address:
1030 A1A NORTH, PONTE VEDRA BEACH, FL, 32082
Safety Health:
Health
Scope:
Complete

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Date of last update: 01 Aug 2025

Sources: Florida Department of State