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PARKCREEK ASC, LLC - Florida Company Profile

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Company Details

Entity Name: PARKCREEK ASC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Sep 2019 (6 years ago)
Document Number: L19000225113
FEI/EIN Number 84-3082809
Address: 14201 Dallas Parkway, Dallas, TX, 75254, US
Mail Address: 14201 Dallas Parkway, Dallas, TX, 75254, US
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Manager -
- Agent -
LeMaistre Collin President 14201 DALLAS PKWY, Dallas, TX, 75254
Franklin Jacqueline Vice President 14201 Dallas Parkway, Dallas, TX, 75254
Bowden James Secretary 14201 DALLAS PKWY, Dallas, TX, 75254

Unique Entity ID

Unique Entity ID:
XBAUJQNCTG61
CAGE Code:
11GC1
UEI Expiration Date:
2026-05-13

Business Information

Activation Date:
2025-05-15
Initial Registration Date:
2025-04-03

National Provider Identifier

NPI Number:
1932735677
Certification Date:
2024-09-17

Authorized Person:

Name:
COLLIN LEMAISTRE
Role:
AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000102279 PARKCREEK SURGERY CENTER ACTIVE 2019-09-18 2030-12-31 - 14201 DALLAS PKWY, DALLAS, TX, 75254

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-06-20 14201 Dallas Parkway, Dallas, TX 75254 -
CHANGE OF MAILING ADDRESS 2020-06-20 14201 Dallas Parkway, Dallas, TX 75254 -

Documents

Name Date
ANNUAL REPORT 2024-05-02
ANNUAL REPORT 2023-04-18
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-04-19
ANNUAL REPORT 2020-06-20
Florida Limited Liability 2019-09-05

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Date of last update: 01 Jul 2025

Sources: Florida Department of State