| Entity Name: | ADVANCED SURGICAL CARE OF VIERA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Jul 2021 (4 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 27 Oct 2022 (2 years ago) |
| Document Number: | L21000311730 |
| FEI/EIN Number | 87-2178964 |
| Address: | 8240 DEVEREUX DR STE 100, MELBOURNE, FL 32940-8200 |
| Mail Address: | 8240 DEVEREUX DR STE 100, MELBOURNE, FL 32940-8200 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063164960 | 2022-01-21 | 2022-01-21 | 8240 DEVEREUX DR STE 100, MELBOURNE, FL, 329408200, US | 8240 DEVEREUX DR STE 100, MELBOURNE, FL, 329408200, US | |||||||||||||
|
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| Phone | +1 321-543-3688 |
Authorized person
| Name | DR. BRIAN D HAMZAVI |
| Role | CEO |
| Phone | 3215433688 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Rowlett, Rebecca D | Agent | 8240 DEVEREUX DR STE 100, MELBOURNE, FL 32940-8200 |
| Name | Role | Address |
|---|---|---|
| Bressman, Sara | Manager | 8240 Devereux Drive, Suite 100 Melbourne, FL 32940-8200 |
| Name | Role | Address |
|---|---|---|
| Eldaif , Bassem , MD | Medical Director | 8240 DEVEREUX DR STE 100, MELBOURNE, FL 32940-8200 |
| Name | Role | Address |
|---|---|---|
| Hamzavi , Brian , MD | Chief Executive Officer | 8240 DEVEREUX DR STE 100, MELBOURNE, FL 32940-8200 |
| Name | Role | Address |
|---|---|---|
| Rowlett, Rebecca D | Administrator | 8240 DEVEREUX DR STE 100, MELBOURNE, FL 32940-8200 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-04 | Rowlett, Rebecca D | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-04 | 8240 DEVEREUX DR STE 100, MELBOURNE, FL 32940-8200 | No data |
| LC STMNT OF RA/RO CHG | 2022-10-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-27 | 8240 DEVEREUX DR STE 100, MELBOURNE, FL 32940-8200 | No data |
| CHANGE OF MAILING ADDRESS | 2022-10-27 | 8240 DEVEREUX DR STE 100, MELBOURNE, FL 32940-8200 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-25 |
| ANNUAL REPORT | 2023-01-04 |
| CORLCRACHG | 2022-10-27 |
| ANNUAL REPORT | 2022-01-12 |
| Florida Limited Liability | 2021-07-07 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
