| Entity Name: | BAY AREA SURGICAL ASSISTING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Jul 2017 (8 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 16 May 2022 (3 years ago) |
| Document Number: | L17000147520 |
| FEI/EIN Number | 82-2103624 |
| Address: | 4122 MADISON ST, #262, ELFERS, FL 34680 |
| Mail Address: | P.O. BOX 262, ELFERS, FL 34680 |
| ZIP code: | 34680 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619492642 | 2017-08-10 | 2022-07-21 | 11011 AVANA WAY APT 107, TRINITY, FL, 346555199, US | 11011 AVANA WAY APT 107, TRINITY, FL, 346555199, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 813-310-5679 |
| Fax | 7272646235 |
Authorized person
| Name | MR. LEONARD PAUL JOHNS |
| Role | PRESIDENT |
| Phone | 8133105679 |
Taxonomy
| Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
| License Number | PA9102691 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | PA9102691 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JOHNS, LEONARD P | Agent | 4122 MADISON ST, #262, ELFERS, FL 34680 |
| Name | Role | Address |
|---|---|---|
| JOHNS, LEONARD P | Manager | 2013 Macaw Ct, New Port Richey, FL 34655 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-20 | 4122 MADISON ST, #262, ELFERS, FL 34680 | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-20 | 4122 MADISON ST, #262, ELFERS, FL 34680 | No data |
| LC STMNT OF RA/RO CHG | 2022-05-16 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-05-16 | 4122 MADISON ST, #262, ELFERS, FL 34680 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-01-26 |
| CORLCRACHG | 2022-05-16 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-03-12 |
| ANNUAL REPORT | 2019-01-28 |
| ANNUAL REPORT | 2018-01-15 |
| Florida Limited Liability | 2017-07-10 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
