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EAST WEST LASER AND AMBULATORY SURGERY CENTER LLC - Florida Company Profile

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Company Details

Entity Name: EAST WEST LASER AND AMBULATORY SURGERY CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 15 Jun 2021 (4 years ago)
Document Number: L21000278684
FEI/EIN Number 87-1385278
Address: 1855 EAST-WEST PARKWAY, SUITE 1, FLEMING ISLAND, FL, 32003
Mail Address: 1855 EAST-WEST PARKWAY, SUITE 1, FLEMING ISLAND, FL, 32003
ZIP code: 32003
City: Fleming Island
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DOWNER DONALD M Manager 1855 EAST-WEST PARKWAY, FLEMING ISLAND, FL, 32003
PECORARO RUSSELL A Manager 1855 EAST-WEST PARKWAY, FLEMING ISLAND, FL, 32003
LEVINE LAWRENCE M Manager 1855 EAST-WEST PARKWAY, FLEMING ISLAND, FL, 32003
HAYES DAVID W Manager 1855 EAST-WEST PARKWAY, FLEMING ISLAND, FL, 32003
DuPree Jameson P Manager 1855 EAST-WEST PARKWAY, FLEMING ISLAND, FL, 32003
KING ERIC J Agent 1855 EAST-WEST PARKWAY, FLEMING ISLAND, FL, 32003

Unique Entity ID

Unique Entity ID:
J9UDG3H81K34
UEI Expiration Date:
2025-12-27

Business Information

Doing Business As:
EAST WEST LASER & AMBULATORY SURGERY CENTER LLC
Activation Date:
2024-12-31
Initial Registration Date:
2024-02-23

National Provider Identifier

NPI Number:
1225701824
Certification Date:
2021-07-02

Authorized Person:

Name:
DR. RUSSELL A. PECORARO
Role:
MANAGER
Phone:

Taxonomy:

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

Contacts:

Fax:
5616306062

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000016685 EAST WEST SURGERY CENTER ACTIVE 2022-02-09 2027-12-31 - 1855 EAST-WEST PARKWAY, SUITE 1, FLEMING ISLAND, FL, 32003

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-03-03
ANNUAL REPORT 2022-01-28
Florida Limited Liability 2021-06-15

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Date of last update: 02 Jul 2025

Sources: Florida Department of State