| Entity Name: | MEDICAL PARK SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 13 Apr 2015 (10 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L15000063768 |
| FEI/EIN Number | 47-4717841 |
| Address: | 1447 MEDICAL PARK BLVD, STE 300, WELLINGTON, FL 33414 |
| Mail Address: | 2979 PGA BLVD, STE 200, PALM BEACH GARDENS, FL 33410 |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215319645 | 2015-06-22 | 2015-06-22 | 2979 PGA BLVD, SUITE 200, PALM BEACH GARDENS, FL, 334102911, US | 1447 MEDICAL PARK BLVD, SUITE 300, WELLINGTON, FL, 334143164, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 561-275-7604 |
| Fax | 5618025385 |
| Phone | +1 561-790-5990 |
| Fax | 5617905952 |
Authorized person
| Name | JOHN BURIGO |
| Role | PRESIDENT |
| Phone | 5612757604 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | ME35335 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BURIGO, JOHN | Agent | 2979 PGA BLVD, STE 200, PALM BEACH GARDENS, FL 33410 |
| Name | Role | Address |
|---|---|---|
| BURIGO, JOHN | Manager | 2979 PGA BLVD, PALM BEACH GARDENS, FL 33410 |
| CARLSON, MELISSA | Manager | 1447 MEDICAL PARK BLVD, #300, WELLINGTON, FL 33414 |
| GORDON, ROBERT | Manager | 2979 PGA BLVD, PALM BEACH GARDENS, FL 33410 |
| Name | Role | Address |
|---|---|---|
| GOLD, JEFFREY | Chief Administrative Officer | 2979 PGA BLVD, PALM BEACH GARDENS, FL 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2015-04-13 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
