| Entity Name: | THE PALMETTO ASC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
THE PALMETTO ASC, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 01 Apr 2021 (4 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 01 Apr 2021 (4 years ago) |
| Document Number: | L21000138042 |
| FEI/EIN Number |
621647406
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2140 W. 68TH ST STE 102, HIALEAH, FL, 33016, US |
| Mail Address: | 2140 W. 68TH ST STE 102, HIALEAH, FL, 33016, US |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982676227 | 2006-02-02 | 2022-04-08 | 2140 W 68TH ST, SUITE 102, HIALEAH, FL, 330161815, US | 2140 W 68TH ST, SUITE 102, HIALEAH, FL, 330161815, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 305-512-8220 |
| Fax | 3055124945 |
Authorized person
| Name | TIFFANY JANE JARAMILLO |
| Role | OFFICE MANAGER |
| Phone | 3055128220 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1055 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 109945200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MADERAL FRANCISCO M.D. | Agent | 2140 W. 68TH ST STE 102, HIALEAH, FL, 33016 |
| G.I. ENDOSCOPY PARTNERS, INC. | Authorized Member | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000128972 | THE PALMETTO SURGERY CENTER | ACTIVE | 2024-10-21 | 2029-12-31 | - | 2140 W 68TH STREET STE 102, HIALEAH, FL, 33016 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2021-04-01 | - | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS B97000000266. CONVERSION NUMBER 900000211689 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-21 |
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-07-12 |
| ANNUAL REPORT | 2022-04-26 |
| Florida Limited Liability | 2021-04-01 |
Date of last update: 01 May 2025
Sources: Florida Department of State
