| Entity Name: | FARESI SURGICAL CARE, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 21 Aug 2017 (7 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L17000178042 |
| Address: | 11766 FOXBRIAR LAKE TRAIL, BOYNTON BEACH, FL, 33473, US |
| Mail Address: | 11766 FOXBRIAR LAKE TRAIL, 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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336665256 | 2017-08-22 | 2018-03-17 | 11766 FOXBRIAR LAKE TRL, BOYNTON BEACH, FL, 334737830, US | 2839 S SEACREST BLVD, BOYNTON BEACH, FL, 334357934, US | |||||||||||||||||||
|
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| Phone | +1 606-465-4583 |
| Phone | +1 561-732-2464 |
Authorized person
| Name | MARIANO FARESI |
| Role | MD |
| Phone | 6064654583 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | ME96085 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FARESI MARIANO M.D. | Agent | 11766 FOXBRIAR LAKE TRAIL, BOYNTON BEACH, FL, 33473 |
| Name | Role | Address |
|---|---|---|
| FARESI MARIANO M.D. | Manager | 11766 FOXBRIAR LAKE TRAIL, BOYNTON BEACH, FL, 33473 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2017-08-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
