| Entity Name: | WEST PALM BEACH SURGICAL ASSISTING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Feb 2020 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 18 May 2020 (5 years ago) |
| Document Number: | L20000046042 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 10628 PASO FINO DR., LAKE WORTH, FL, 33449, US |
| Mail Address: | 10628 PASO FINO DR., LAKE WORTH, FL, 33449, US |
| ZIP code: | 33449 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710513056 | 2020-03-18 | 2020-05-17 | PO BOX 210241, ROYAL PALM BEACH, FL, 334210241, US | 10628 PASO FINO DR, LAKE WORTH, FL, 334498018, US | |||||||||||||||||||||
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| Phone | +1 561-631-8171 |
| Fax | 5616318171 |
Authorized person
| Name | MR. JOHN SANTORO |
| Role | SA-C |
| Phone | 5616318171 |
Taxonomy
| Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ABSA CERT - SURGICAL ASSISTANT - CERTIFIED |
| Number | 19-195 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SANTORO JOHN | Agent | 10628 PASO FINO DR., LAKE WORTH, FL, 33449 |
| Name | Role | Address |
|---|---|---|
| SANTORO JOHN | Member | 10628 PASO FINO DR., LAKE WORTH, FL, 33449 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2020-05-18 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-20 |
| ANNUAL REPORT | 2023-03-14 |
| ANNUAL REPORT | 2022-03-18 |
| ANNUAL REPORT | 2021-04-15 |
| LC Amendment | 2020-05-18 |
| Florida Limited Liability | 2020-02-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
