| Entity Name: | BAY SURGICAL SPECIALISTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Nov 2019 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 13 Nov 2024 (3 months ago) |
| Document Number: | L19000282083 |
| FEI/EIN Number | 59-3159954 |
| Address: | 960 SEVENTH AVE. NORTH, ST. PETERSBURG, FL, 33705, US |
| Mail Address: | 960 SEVENTH AVE. NORTH, ST. PETERSBURG, FL, 33705, US |
| ZIP code: | 33705 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457348237 | 2005-10-05 | 2024-06-25 | 960 7TH AVE N, ST PETERSBURG, FL, 337051347, US | 960 7TH AVE N, ST PETERSBURG, FL, 337051347, US | |||||||||||||||||||||
|
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| Phone | +1 727-821-8101 |
| Fax | 7278948360 |
Authorized person
| Name | JADE DUNCANSON |
| Role | PRACTICE ADMINISTRATOR |
| Phone | 7278218101 |
Taxonomy
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 267796200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ALMOND BRETT A | Agent | 960 SEVENTH AVE. NORTH, ST. PETERSBURG, FL, 33705 |
| Name | Role | Address |
|---|---|---|
| YANG CHUN K | Vice President | 960 SEVENTH AVE. NORTH, ST. PETERSBURG, FL, 33705 |
| Name | Role | Address |
|---|---|---|
| Almond Brett A | President | 960 SEVENTH AVE. NORTH, ST. PETERSBURG, FL, 33705 |
| Name | Role | Address |
|---|---|---|
| Szpila Benjamin E | Secretary | 960 SEVENTH AVE. NORTH, ST. PETERSBURG, FL, 33705 |
| Name | Role | Address |
|---|---|---|
| CONANT MARK | Treasurer | 960 SEVENTH AVE. NORTH, ST. PETERSBURG, FL, 33705 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-11-13 | No data | No data |
| LC AMENDMENT | 2022-07-05 | No data | No data |
| LC AMENDMENT | 2022-05-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-01-24 | ALMOND, BRETT A | No data |
| CONVERSION | 2019-11-27 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P93000005679. CONVERSION NUMBER 100000197971 |
| Name | Date |
|---|---|
| LC Amendment | 2024-11-13 |
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-02-01 |
| LC Amendment | 2022-07-05 |
| LC Amendment | 2022-05-06 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-06-29 |
| Florida Limited Liability | 2019-11-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
