| Entity Name: | G34 SURGICAL ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 Jul 2019 (6 years ago) |
| Document Number: | L19000194505 |
| FEI/EIN Number | 84-2552822 |
| Address: | 14611 94th St N, West Palm Beach, FL 33412 |
| Mail Address: | 14611 94th St N, West Palm Beach, FL 33412 |
| ZIP code: | 33412 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306490008 | 2019-07-31 | 2020-11-04 | 1155 S CONGRESS AVE STE C, PALM SPRINGS, FL, 334065114, US | 241 SE 1ST ST, BELLE GLADE, FL, 334303501, US | |||||||||||||||||
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| Phone | +1 561-766-1300 |
| Fax | 5616930539 |
| Phone | +1 561-707-9149 |
Authorized person
| Name | BARRY DAVIS |
| Role | PHYSICIAN/OWNER |
| Phone | 5617079149 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAVIS, BARRY, DR. | Agent | 14611 94th St N, WEST PALM BEACH, FL 33412 |
| Name | Role | Address |
|---|---|---|
| DAVIS, BARRY, DR. | Manager | 16411 9TH STREET N, WEST PALM BEACH, FL 33412 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-11-15 | 14611 94th St N, West Palm Beach, FL 33412 | No data |
| CHANGE OF MAILING ADDRESS | 2022-11-15 | 14611 94th St N, West Palm Beach, FL 33412 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-02 | 14611 94th St N, WEST PALM BEACH, FL 33412 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-05-04 |
| Florida Limited Liability | 2019-07-30 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
