Entity Name: | DELRAY BEACH ASC, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 05 Sep 2019 (5 years ago) |
Document Number: | L19000225120 |
FEI/EIN Number | 84-3067076 |
Mail Address: | 14201 DALLAS PKWY, Dallas, TX, 75254, US |
Address: | 4800 Linton Blvd, Building B, Delray Beach, FL, 33445, US |
ZIP code: | 33445 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1194351833 | 2020-03-13 | 2024-09-06 | 14201 DALLAS PKWY, DALLAS, TX, 752542916, US | 4800 LINTON BLVD STE B, DELRAY BEACH, FL, 334456595, US | |||||||||||||||||||
|
Phone | +1 972-763-3859 |
Fax | 9729203445 |
Phone | +1 561-495-9111 |
Fax | 5614956766 |
Authorized person
Name | COLLIN LEMAISTRE |
Role | OFFICER/AUTHORIZED OFFICIAL |
Phone | 4692503640 |
Taxonomy
Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
Is Primary | Yes |
Name | Role |
---|---|
C T CORPORATION SYSTEM | Agent |
Name | Role | Address |
---|---|---|
Bowden James | Secretary | 14201 Dallas Parkway, Dallas, TX, 75254 |
Name | Role | Address |
---|---|---|
LeMaistre Collin | President | 14201 DALLAS PKWY, Dallas, TX, 75254 |
Name | Role | Address |
---|---|---|
McCawley Andrea | Vice President | 14201 DALLAS PKWY, Dallas, TX, 75254 |
Name | Role | Address |
---|---|---|
Sims Karen | Auth | 14201 DALLAS PKWY, Dallas, TX, 75254 |
Name | Role |
---|---|
USP FORT LAUDERDALE, INC. | Manager |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G19000101811 | DELRAY BEACH SURGERY CENTER | EXPIRED | 2019-09-17 | 2024-12-31 | No data | 15305 DALLAS PKWY, SUITE 1600, ADDISON, TX, 75001 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-03-08 | 4800 Linton Blvd, Building B, Delray Beach, FL 33445 | No data |
CHANGE OF MAILING ADDRESS | 2020-05-27 | 4800 Linton Blvd, Building B, Delray Beach, FL 33445 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-30 |
ANNUAL REPORT | 2023-04-19 |
ANNUAL REPORT | 2022-03-08 |
ANNUAL REPORT | 2021-04-15 |
ANNUAL REPORT | 2020-05-27 |
Florida Limited Liability | 2019-09-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State