| Entity Name: | PRECISION SURGICENTER OF SAINT CLOUD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Mar 2021 (4 years ago) |
| Document Number: | L21000145951 |
| FEI/EIN Number | 862855349 |
| Address: | 1330 BUDINGER AVE, SUITE 200, ST. CLOUD, FL, 34769, UN |
| Mail Address: | 1330 BUDINGER AVE, SUITE 200, ST. CLOUD, FL, 34769, UN |
| ZIP code: | 34769 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720660806 | 2021-04-27 | 2021-08-06 | 1330 BUDINGER AVE STE 200, SAINT CLOUD, FL, 347694123, US | 1330 BUDINGER AVE STE 200, SAINT CLOUD, FL, 347694123, US | |||||||||||||||
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| Phone | +1 407-891-2010 |
| Fax | 4078918211 |
Authorized person
| Name | MASSIEL MENA |
| Role | CLINICAL DIRECTOR |
| Phone | 4078912010 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NGUYEN LY T | Agent | 1330 BUDINGER AVE SUITE 200, ST. CLOUD, FL, 34769 |
| Name | Role | Address |
|---|---|---|
| Nguyen Ly T | President | 1330 BUDINGER AVE, ST. CLOUD, 34769 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-03-23 |
| ANNUAL REPORT | 2022-03-11 |
| Florida Limited Liability | 2021-03-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
