| Entity Name: | PARKCREEK ASC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Sep 2019 (5 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 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932735677 | 2020-03-13 | 2024-09-17 | 6806 N STATE ROAD 7, COCONUT CREEK, FL, 330734304, US | 6806 N STATE ROAD 7, COCONUT CREEK, FL, 330734304, US | |||||||||||||
|
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| Phone | +1 954-312-3500 |
Authorized person
| Name | COLLIN LEMAISTRE |
| Role | AUTHORIZED OFFICIAL |
| Phone | 4692503640 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role |
|---|---|
| USP FORT LAUDERDALE, INC. | Manager |
| Name | Role | Address |
|---|---|---|
| LeMaistre Collin | President | 14201 DALLAS PKWY, Dallas, TX, 75254 |
| Name | Role | Address |
|---|---|---|
| Franklin Jacqueline | Vice President | 14201 Dallas Parkway, Dallas, TX, 75254 |
| Name | Role | Address |
|---|---|---|
| Bowden James | Secretary | 14201 DALLAS PKWY, Dallas, TX, 75254 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000102279 | PARKCREEK SURGERY CENTER | ACTIVE | 2019-09-18 | 2030-12-31 | No data | 14201 DALLAS PKWY, DALLAS, TX, 75254 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-20 | 14201 Dallas Parkway, Dallas, TX 75254 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-20 | 14201 Dallas Parkway, Dallas, TX 75254 | No data |
| 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 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
