| Entity Name: | PSM SURGICAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 19 Jul 2018 (7 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L18000174108 |
| FEI/EIN Number | 83-1164842 |
| Address: | 5645 CORAL RIDGE DRIVE, #185, CORAL SPRINGS, FL 33076 |
| Mail Address: | 5645 CORAL RIDGE DRIVE, #185, CORAL SPRINGS, FL 33076 |
| ZIP code: | 33076 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215413679 | 2018-07-18 | 2018-08-24 | 5457 NW 122ND DR, CORAL SPRINGS, FL, 330763631, US | 5645 CORAL RIDGE DR STE 185, CORAL SPRINGS, FL, 330763124, US | |||||||||||||||||
|
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| Phone | +1 954-242-2633 |
Authorized person
| Name | PATRICIA SCHLADWEILER |
| Role | RNFA |
| Phone | 9542422633 |
Taxonomy
| Taxonomy Code | 163WR0006X - Registered Nurse First Assistant |
| License Number | RN9332355 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SCHLADWEILER, PATRICIA | Agent | 5645 Coral Ridge Dr, 185, CORAL SPRINGS, FL 33076 |
| Name | Role | Address |
|---|---|---|
| SCHLADWEILER, PATRICIA | Authorized Member | 5645 Coral Ridge Dr, Suite 185 CORAL SPRINGS, FL 33076 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-01 | 5645 Coral Ridge Dr, 185, CORAL SPRINGS, FL 33076 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-08-24 | 5645 CORAL RIDGE DRIVE, #185, CORAL SPRINGS, FL 33076 | No data |
| CHANGE OF MAILING ADDRESS | 2018-08-24 | 5645 CORAL RIDGE DRIVE, #185, CORAL SPRINGS, FL 33076 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-06-14 |
| ANNUAL REPORT | 2019-04-01 |
| Florida Limited Liability | 2018-07-19 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
