| Entity Name: | ADVANCED SURGERY INSTITUTE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Jan 2022 (3 years ago) |
| Document Number: | L22000026567 |
| FEI/EIN Number | 87-4630520 |
| Address: | 9282 NW 63 CT, PARKLAND, FL, 33067, US |
| Mail Address: | 9282 NW 63 CT, PARKLAND, FL, 33067, US |
| ZIP code: | 33067 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720310626 | 2010-02-03 | 2023-10-09 | 9922 ROOSEVELT BLVD, PHILADELPHIA, PA, 191151705, US | 9282 NW 63RD CT, PARKLAND, FL, 330673758, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 215-464-6040 |
| Phone | +1 484-716-9519 |
Authorized person
| Name | DR. COSME Y MANZARBEITIA |
| Role | MANAGING MEMBER |
| Phone | 4847169519 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | MD055579L |
| State | PA |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MANZARBEITIA COSME | Agent | 9282 NW 63 CT, PARKLAND, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| MANZARBEITIA COSME | Manager | 9282 NW 63 CT, PARKLAND, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| MANZARBEITIA JOANN | Authorized Representative | 9282 NW 63 CT, PARKLAND, FL, 33067 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-23 |
| Florida Limited Liability | 2022-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
