| Entity Name: | MIAMI CHILDREN'S HOSPITAL AMBULATORY SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 Jul 2013 (11 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 14 Aug 2019 (5 years ago) |
| Document Number: | L13000107599 |
| FEI/EIN Number | 46-3406805 |
| Address: | 800 SW 108 AVENUE, SUITE 200, MIAMI, FL 33174 |
| Mail Address: | 3100 S.W. 62ND AVENUE, MIAMI, FL 33155 |
| ZIP code: | 33174 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316341514 | 2014-10-16 | 2015-06-08 | 800 SW 108TH AVE, SUITE 200, MIAMI, FL, 33174, US | 800 SW 108TH AVE, SUITE 200, MIAMI, FL, 33174, US | |||||||||||||||
|
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| Phone | +1 305-831-4282 |
| Fax | 7863194244 |
Authorized person
| Name | RUBEN REINIS |
| Role | ADMINISTRATIVE DIRECTOR |
| Phone | 3058314285 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| CIK number | Mailing Address | Business Address | Phone | |
|---|---|---|---|---|
| 1780258 | 800 SW 108TH AVENUE, SUITE 200, MIAMI, FL, 33174 | 800 SW 108TH AVENUE, SUITE 200, MIAMI, FL, 33174 | 305-228-7550 | |
| Name | Role |
|---|---|
| MIAMI CHILDREN'S HEALTH SYSTEM, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Love, Matthew | Authorized Representative | 3100 S.W. 62ND AVENUE, MIAMI, FL 33155 |
| Perlyn, Chad, Dr. | Authorized Representative | 3100 S.W. 62ND AVENUE, MIAMI, FL 33155 |
| Dave, Sandeep, Dr. | Authorized Representative | 3100 S.W. 62ND AVENUE, MIAMI, FL 33155 |
| Labbie, Andrew, Dr. | Authorized Representative | 3100 S.W. 62ND AVENUE, MIAMI, FL 33155 |
| Spurdle, Craig, Dr. | Authorized Representative | 3100 S.W. 62ND AVENUE, MIAMI, FL 33155 |
| JAVERSACK, DAWN | Authorized Representative | 3100 SW 62nd Avenue, Miami, FL 33155 |
| BERGES, IRIS | Authorized Representative | 3100 SW 62nd Avenue, Miami, FL 33155 |
| URQUIA, ARIANNA | Authorized Representative | 3100 S.W. 62ND AVENUE, MIAMI, FL 33155 |
| Seo, David, Dr. | Authorized Representative | 3100 S.W. 62ND AVENUE, MIAMI, FL 33155 |
| Name | Role | Address |
|---|---|---|
| Perlyn, Chad, Dr. | Chair | 3100 S.W. 62ND AVENUE, MIAMI, FL 33155 |
| Name | Role | Address |
|---|---|---|
| Dave, Sandeep, Dr. | Chief Medical Officer | 3100 S.W. 62ND AVENUE, MIAMI, FL 33155 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000129125 | NICKLAUS CHILDREN'S AMBULATORY SURGERY CENTER | ACTIVE | 2018-12-06 | 2028-12-31 | No data | 800 SW 108TH AVE, SUITE 200, MIAMI, FL, 33174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2019-08-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-08-14 | MIAMI CHILDREN'S HEALTH SYSTEM, INC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-07 | 800 SW 108 AVENUE, SUITE 200, MIAMI, FL 33174 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-02-22 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-05-08 |
| CORLCRACHG | 2019-08-14 |
| ANNUAL REPORT | 2019-05-01 |
| AMENDED ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-20 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
