| Entity Name: | HSS PALM BEACH AMBULATORY SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Dec 2017 (7 years ago) |
| Document Number: | L17000257320 |
| FEI/EIN Number | 30-1015589 |
| Mail Address: | 14201 Dallas Parkway, Dallas, TX 75254 |
| Address: | 300 Palm Beach Lakes Boulevard, West Palm Beach, FL 33401 |
| ZIP code: | 33401 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790241073 | 2019-02-12 | 2024-09-13 | 300 PALM BEACH LAKES BLVD, WEST PALM BEACH, FL, 334012711, US | 300 PALM BEACH LAKES BLVD, WEST PALM BEACH, FL, 334012711, US | |||||||||||||||
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| Phone | +1 561-725-4300 |
| Fax | 5617254310 |
Authorized person
| Name | COLLIN LEMAISTRE |
| Role | OFFICER / AUTHORIZED OFFICER |
| Phone | 4692503640 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role |
|---|---|
| HSS/USP SURGERY CENTER, LLC | Manager |
| Name | Role | Address |
|---|---|---|
| LaMaistre, Collin | Vice President | 14201 Dallas Parkway, Dallas, TX 75254 |
| Name | Role | Address |
|---|---|---|
| Bowden, James | Secretary | 14201 Dallas Parkway, Dallas, TX 75254 |
| Name | Role | Address |
|---|---|---|
| Sims, Karen | Authorized Representative | 14201 DALLAS PKWY, FL 13 Dallas, TX 75254 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-26 | 300 Palm Beach Lakes Boulevard, West Palm Beach, FL 33401 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-15 | 300 Palm Beach Lakes Boulevard, West Palm Beach, FL 33401 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-06-15 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-04 |
| Florida Limited Liability | 2017-12-18 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
