| Entity Name: | SOUTHERNMOST SURGERY AND VEINS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Jan 2022 (3 years ago) |
| Document Number: | L22000000826 |
| FEI/EIN Number | 874199649 |
| Address: | 3414 duck avenue, KEY WEST, FL, 33040, US |
| Mail Address: | 3414 duck avenue, KEY WEST, FL, 33040, US |
| ZIP code: | 33040 |
| County: | Monroe |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205597192 | 2022-01-04 | 2022-05-26 | 3414 DUCK AVE STE 10, KEY WEST, FL, 330404427, US | 3414 DUCK AVE STE 10, KEY WEST, FL, 330404427, US | |||||||||||||||
|
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| Phone | +1 305-741-7707 |
| Fax | 8339023615 |
Authorized person
| Name | DR. LAWRENCE BLASS |
| Role | OWNER |
| Phone | 3053946806 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LORIELLEN ROBERTSON, PA | Agent |
| Name | Role | Address |
|---|---|---|
| BLASS LAWRENCE W | Authorized Member | 501 WHITEHEAD STREET #2, KEY WEST, FL, 33040 |
| Name | Role | Address |
|---|---|---|
| ROBERTSON LORIELLEN | Authorized Representative | 501 WHITEHEAD STREET #2, KEY WEST, FL, 33040 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-16 | 3414 duck avenue, ste 10, KEY WEST, FL 33040 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-13 | 3414 duck avenue, ste 10, KEY WEST, FL 33040 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-09 |
| ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2023-01-24 |
| Florida Limited Liability | 2022-01-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
