| Entity Name: | BLUE DIAMOND SURGICAL SPECIALISTS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Apr 2019 (6 years ago) |
| Document Number: | L19000095149 |
| FEI/EIN Number | 84-3354466 |
| Address: | 1500 NORTH DIXIE HWY, SUITE 304, WEST PALM BEACH, FL 33401 |
| Mail Address: | 1500 NORTH DIXIE HWY, SUITE 304, 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 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871234732 | 2022-04-05 | 2022-05-09 | 1500 N DIXIE HWY STE 300, WEST PALM BEACH, FL, 334012717, US | 1500 N DIXIE HWY STE 304, WEST PALM BEACH, FL, 334012717, US | |||||||||||||
|
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| Phone | +1 561-833-4022 |
Authorized person
| Name | AMY COLLINS-BRENNER |
| Role | OWNER |
| Phone | 5616939324 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COLLINS-BRENNER, AMY L, M.D. | Agent | 1500 NORTH DIXIE HWY, SUITE 304, WEST PALM BEACH, FL 33401 |
| Name | Role | Address |
|---|---|---|
| COLLINS-BRENNER, AMY L, M.D. | Authorized Member | 1500 NORTH DIXIE HWY, SUITE 304, WEST PALM BEACH, FL 33401 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-05 |
| ANNUAL REPORT | 2020-06-26 |
| Florida Limited Liability | 2019-04-05 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
