| Entity Name: | NISSY SURGICAL 1ST ASSIST LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Nov 2015 (9 years ago) |
| Document Number: | L15000197616 |
| FEI/EIN Number | 81-0727777 |
| Address: | 10752 EMILIA ISLES TER., BOYNTON BEACH, FL, 33473, US |
| Mail Address: | 10752 EMILIA ISLES TER., BOYNTON BEACH, FL, 33473, US |
| ZIP code: | 33473 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134584519 | 2015-12-29 | 2015-12-29 | 10752 EMILIA ISLES TER, BOYNTON BEACH, FL, 334734965, US | 10752 EMILIA ISLES TER, BOYNTON BEACH, FL, 334734965, US | |||||||||||||||||
|
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| Phone | +1 954-416-1781 |
Authorized person
| Name | RODRIGUE TERTUS |
| Role | AUTHORIZED OFFICIAL |
| Phone | 9544161781 |
Taxonomy
| Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
| License Number | PA9107169 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TERTUS RODRIGUE | Agent | 10752 EMILIA ISLES TER., BOYNTON BEACH, FL, 33473 |
| Name | Role | Address |
|---|---|---|
| TERTUS RODRIGUE | Authorized Member | 10752 EMILIA ISLES TER., BOYNTON BEACH, FL, 33473 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-05 |
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-03-04 |
| ANNUAL REPORT | 2022-01-08 |
| ANNUAL REPORT | 2021-01-17 |
| ANNUAL REPORT | 2020-01-12 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-01-20 |
| ANNUAL REPORT | 2017-02-25 |
| ANNUAL REPORT | 2016-09-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
