| Entity Name: | NATIONAL INSTITUTE OF SURGICAL ASSISTANTS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 13 Dec 2019 (5 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L19000303686 |
| FEI/EIN Number | 82-2588873 |
| Address: | 2436 North Federal Hwy, Lighthouse Point, FL, 33064, US |
| Mail Address: | 936 SW 1ST AVE, SUITE 838, MIAMI, FL, 33130, US |
| ZIP code: | 33064 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982184826 | 2018-08-20 | 2020-03-27 | 936 SW 1ST AVE STE 838, MIAMI, FL, 331304520, US | 936 SW 1ST AVE STE 838, MIAMI, FL, 331304520, US | |||||||||||||||||
|
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| Phone | +1 888-504-6472 |
| Fax | 8883561032 |
| Fax | 8889652499 |
Authorized person
| Name | CARLOS J MEZA-VALENCIA |
| Role | SURGICAL ASSISTANT EMPLOYER |
| Phone | 8885046472 |
Taxonomy
| Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MEZA-VALENCIA CARLOS | Agent | 2436 North Federal Hwy, Lighthouse Point, FL, 33064 |
| Name | Role | Address |
|---|---|---|
| MEZA-VALENCIA CARLOS | Chief Operating Officer | 2436 North Federal Hwy, Lighthouse Point, FL, 33064 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-29 | 2436 North Federal Hwy, Unit 185, Lighthouse Point, FL 33064 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-29 | 2436 North Federal Hwy, Unit 185, Lighthouse Point, FL 33064 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-12 |
| Florida Limited Liability | 2019-12-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
