| Entity Name: | FIRST PEAK SURGICAL ASSISTING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Apr 2017 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 26 Dec 2017 (7 years ago) |
| Document Number: | L17000089717 |
| FEI/EIN Number | 82-1348114 |
| Address: | 310 AMBERJACK PL, MELBOURNE BEACH, FL 32951 |
| Mail Address: | 310 Amberjack Pl, MELBOURNE BEACH, FL 32951 |
| ZIP code: | 32951 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982113916 | 2017-09-21 | 2022-07-21 | 310 AMBERJACK PL, MELBOURNE BEACH, FL, 329512906, US | 310 AMBERJACK PL, MELBOURNE BEACH, FL, 329512906, US | |||||||||||||||||
|
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| Phone | +1 321-684-1193 |
Authorized person
| Name | JAMES DANIEL MOORE |
| Role | PRESIDENT |
| Phone | 3216841193 |
Taxonomy
| Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
| License Number | PA9103288 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOORE, JAMES | Agent | 310 AMBERJACK PL, MELBOURNE BEACH, FL 32951 |
| Name | Role | Address |
|---|---|---|
| MOORE, JAMES | Chief Executive Officer | 310 AMBERJACK PL, MELBOURNE BEACH, FL 32951 |
| Name | Role | Address |
|---|---|---|
| MOORE, CARISSA | Manager | 310 AMBERJACK PL, MELBOURNE BEACH, FL 32951 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-08 | 310 AMBERJACK PL, MELBOURNE BEACH, FL 32951 | No data |
| LC AMENDMENT | 2017-12-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-04-08 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-06-03 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-13 |
| LC Amendment | 2017-12-26 |
| Florida Limited Liability | 2017-04-24 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
