| Entity Name: | CRC SURGICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Jan 2022 (3 years ago) |
| Document Number: | L22000022860 |
| FEI/EIN Number | 88-3805158 |
| Mail Address: | 6205 NW 81ST DR, GAINESVILLE, FL, 32653, US |
| Address: | 3426 NW 43RD ST, STE A, GAINESVILLE, FL, 32606, US |
| ZIP code: | 32606 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447979752 | 2022-08-22 | 2022-08-22 | 3426 NW 43RD ST STE A, GAINESVILLE, FL, 326068156, US | 3426 NW 43RD ST STE A, GAINESVILLE, FL, 326068156, US | |||||||||||||||
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| Phone | +1 352-559-1200 |
| Fax | 3525591210 |
Authorized person
| Name | DR. SHALESH KAUSHAL |
| Role | PHYSICIAN/OWNER |
| Phone | 3525591200 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KAUSHAL MONIKA | Agent | 6205 NW 81ST DR, GAINESVILLE, FL, 32653 |
| Name | Role |
|---|---|
| COMPREHENSIVE RETINA CONSULTANTS, PLLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-26 | 3426 NW 43RD ST, STE A, GAINESVILLE, FL 32606 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-29 |
| Florida Limited Liability | 2022-01-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
