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FLORIDA OUTPATIENT SPECIALTY SERVICES LLC

Company Details

Entity Name: FLORIDA OUTPATIENT SPECIALTY SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 Mar 2013 (12 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 02 Sep 2022 (2 years ago)
Document Number: L13000032492
FEI/EIN Number 46-2186892
Address: 6782 W SUNRISE BLVD, PLANTATION, FL, 33313, US
Mail Address: 1885 Marina Mile Blvd, Suite 103, Ft Lauderdale, FL, 33315, US
ZIP code: 33313
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699016360 2013-03-06 2013-03-06 3333 S CONGRESS AVE, 400, DELRAY BEACH, FL, 334457308, US 1600 S FEDERAL HWY, 10TH FLOOR, POMPANO BEACH, FL, 330627500, US

Contacts

Phone +1 954-941-8889

Authorized person

Name DR. DANNY S FEDER
Role PRESIDENT
Phone 9549418889

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
License Number CH8093
State FL
Is Primary Yes

Agent

Name Role Address
Lira Lauren Agent 6782 W Sunrise Blvd, PLANTATION, FL, 33313

Authorized Member

Name Role
FLORIDA SPINE AND JOINT INSTITUTE, LLC Authorized Member

Chief Operating Officer

Name Role Address
Lira Lauren Chief Operating Officer 6782 W SUNRISE BLVD, PLANTATION, FL, 33313

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-06-28 Lira, Lauren No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-22 6782 W Sunrise Blvd, PLANTATION, FL 33313 No data
CHANGE OF MAILING ADDRESS 2022-10-26 6782 W SUNRISE BLVD, PLANTATION, FL 33313 No data
CHANGE OF PRINCIPAL ADDRESS 2022-09-02 6782 W SUNRISE BLVD, PLANTATION, FL 33313 No data
LC AMENDMENT 2022-09-02 No data No data
LC STMNT OF RA/RO CHG 2022-05-12 No data No data
LC STMNT OF RA/RO CHG 2021-02-01 No data No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-06-28
AMENDED ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2024-01-16
ANNUAL REPORT 2023-01-04
LC Amendment 2022-09-02
CORLCRACHG 2022-05-12
ANNUAL REPORT 2022-01-19
CORLCRACHG 2021-02-01
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-03-18

Date of last update: 01 Feb 2025

Sources: Florida Department of State