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

Company Details

Entity Name: EAST WEST LASER AND AMBULATORY SURGERY CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

EAST WEST LASER AND AMBULATORY SURGERY CENTER 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 15 Jun 2021 (4 years ago)
Document Number: L21000278684
FEI/EIN Number 87-1385278

Federal Employer Identification (FEI) Number assigned by the IRS.

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
County: Clay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225701824 2021-07-29 2021-07-29 1855 EAST-WEST PARKWAY, SUITE 1, FLEMING ISLAND, FL, 32003, US 1855 EAST-WEST PARKWAY, SUITE 1, FLEMING ISLAND, FL, 32003, US

Contacts

Phone +1 561-630-6277
Fax 5616306062

Authorized person

Name DR. RUSSELL A. PECORARO
Role MANAGER
Phone 9042722020

Taxonomy

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

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

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

Date of last update: 02 Apr 2025

Sources: Florida Department of State