| Entity Name: | FLORIDA SURGICAL SPECIALTY ASSOCIATES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Nov 2018 (6 years ago) |
| Document Number: | L18000261417 |
| FEI/EIN Number | 83-2449538 |
| Address: | 6628 Epping Forest Way N, Jacksonville, FL, 32217, US |
| Mail Address: | 6628 Epping Forest Way N, Jacksonville, FL, 32217, US |
| ZIP code: | 32217 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306314380 | 2018-11-07 | 2019-03-19 | 857 OLD GROVE MNR, JACKSONVILLE, FL, 322076208, US | 6817 SOUTHPOINT PKWY STE 502, JACKSONVILLE, FL, 322166289, US | |||||||||||||||||
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| Phone | +1 904-704-4445 |
| Fax | 9045957480 |
| Phone | +1 904-595-7475 |
Authorized person
| Name | DR. IMAN NASERI |
| Role | OWNER |
| Phone | 9047044445 |
Taxonomy
| Taxonomy Code | 207Y00000X - Otolaryngology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NASERI IMAN | Agent | 6628 Epping Forest Way N, Jacksonville, FL, 32217 |
| Name | Role | Address |
|---|---|---|
| NASERI IMAN | Manager | 6628 Epping Forest Way N, Jacksonville, FL, 32217 |
| Name | Role | Address |
|---|---|---|
| NASERI ALLISON | Authorized Member | 6628 Epping Forest Way N, Jacksonville, FL, 32217 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-25 | 6628 Epping Forest Way N, Jacksonville, FL 32217 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-25 | 6628 Epping Forest Way N, Jacksonville, FL 32217 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-25 | 6628 Epping Forest Way N, Jacksonville, FL 32217 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-25 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-03-23 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-03-04 |
| Florida Limited Liability | 2018-11-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
