| Entity Name: | PHOENIX SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 20 Aug 2013 (11 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L13000118413 |
| FEI/EIN Number | 80-0949829 |
| Address: | 12462 W Atlantic Blvd, Coral Springs, FL, 33071, US |
| Mail Address: | 12462 W Atlantic Blvd, Coral Springs, FL, 33071, US |
| ZIP code: | 33071 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952736928 | 2013-09-10 | 2013-09-10 | 3 SW 129TH AVE, SUITE 100, PEMBROKE PINES, FL, 330271775, US | 3 SW 129TH AVE, SUITE 100, PEMBROKE PINES, FL, 330271775, US | |||||||||||||
|
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| Phone | +1 954-674-2255 |
Authorized person
| Name | FRANCESANN FORD |
| Role | OWNER |
| Phone | 9546742255 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FORD FRANCESANN MD. | Agent | 12462 W Atlantic Blvd, Coral Springs, FL, 33071 |
| Name | Role | Address |
|---|---|---|
| Acevedo Catherine | Auth | 12462 W Atlantic Blvd, Coral Springs, FL, 33071 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-02-05 | 12462 W Atlantic Blvd, Coral Springs, FL 33071 | No data |
| CHANGE OF MAILING ADDRESS | 2018-02-05 | 12462 W Atlantic Blvd, Coral Springs, FL 33071 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-02-05 | 12462 W Atlantic Blvd, Coral Springs, FL 33071 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-09-27 | FORD, FRANCESANN, MD. | No data |
| REINSTATEMENT | 2017-09-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-02-05 |
| REINSTATEMENT | 2017-09-27 |
| ANNUAL REPORT | 2016-03-01 |
| ANNUAL REPORT | 2015-04-08 |
| ANNUAL REPORT | 2014-03-04 |
| Florida Limited Liability | 2013-08-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
