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PALM BEACH OUTPATIENT SURGERY CENTER, LLC - Florida Company Profile

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Company Details

Entity Name: PALM BEACH OUTPATIENT SURGERY CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 22 Jul 2020 (5 years ago)
Date of dissolution: 22 Sep 2023 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (2 years ago)
Document Number: L20000207417
FEI/EIN Number 852173355
Address: 501 N Reo Street, tampa, FL, 33609, US
Mail Address: 501 N Reo Street, tampa, FL, 33609, US
ZIP code: 33609
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WOOD DAVID A Manager 501 N REO ST, TAMPA, FL, 33609
Priolo Mary Vice President 504 N REO STREET, TAMPA, FL, 33609
Priolo Mary o 504 N REO STREET, TAMPA, FL, 33609
Helms Josh Chief Operating Officer 504 N REO STREET, TAMPA, FL, 33609
Gari Tracie Chief Administrative Officer 504 N. REO ST., TAMPA, FL, 33609
Wade Mark Chief Executive Officer 504 N REO ST, TAMPA, FL, 33609
Rajan-Wilson Rekha L Agent 504 N REO ST, TAMPA, FL, 33609

National Provider Identifier

NPI Number:
1962175059
Certification Date:
2021-07-26

Authorized Person:

Name:
JOSHUA HELMS
Role:
CHIEF OPERATING OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
CHANGE OF PRINCIPAL ADDRESS 2023-08-15 501 N Reo Street, tampa, FL 33609 -
CHANGE OF MAILING ADDRESS 2023-08-15 501 N Reo Street, tampa, FL 33609 -
REGISTERED AGENT NAME CHANGED 2021-03-12 Rajan-Wilson, Rekha L -
REGISTERED AGENT ADDRESS CHANGED 2021-03-12 504 N REO ST, TAMPA, FL 33609 -

Documents

Name Date
ANNUAL REPORT 2022-03-30
ANNUAL REPORT 2021-03-12
Florida Limited Liability 2020-07-22

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Date of last update: 03 Aug 2025

Sources: Florida Department of State