| Entity Name: | VOLUSIA CENTER FOR SURGICAL EXCELLENCE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 May 2019 (6 years ago) |
| Document Number: | L19000121558 |
| FEI/EIN Number | 84-1738810 |
| Address: | 303 N. RIDGEWOOD AVE., EDGEWATER, FL, 32132, US |
| Mail Address: | 303 N. RIDGEWOOD AVE., EDGEWATER, FL, 32132, US |
| ZIP code: | 32132 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821655259 | 2019-05-21 | 2022-05-17 | 303 N RIDGEWOOD AVE, EDGEWATER, FL, 321321617, US | 303 N RIDGEWOOD AVE, EDGEWATER, FL, 321321617, US | |||||||||||||||||||||||
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| Phone | +1 386-424-1422 |
| Fax | 3864241401 |
Authorized person
| Name | OREST KRAJNYK |
| Role | MANAGER |
| Phone | 3864241422 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QS0132X - Ophthalmologic Surgery Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Orest Krajnyk | Agent | 303 N Ridgewood Av, Edgewater, FL, 32132 |
| Name | Role | Address |
|---|---|---|
| KRAJNYK OREST M | President | 303 N. RIDGEWOOD AVE., EDGEWATER, FL, 32132 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-30 | Orest, Krajnyk | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-30 | 303 N Ridgewood Av, Edgewater, FL 32132 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-06 | 303 N. RIDGEWOOD AVE., EDGEWATER, FL 32132 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-06 | 303 N. RIDGEWOOD AVE., EDGEWATER, FL 32132 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-03-30 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-05-04 |
| ANNUAL REPORT | 2020-03-16 |
| Florida Limited Liability | 2019-05-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
