| Entity Name: | SOUTH FLORIDA SURGICAL ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Feb 2022 (3 years ago) |
| Document Number: | L22000063805 |
| FEI/EIN Number | 88-0947008 |
| Address: | 5611 SOLERA CT, FORT MYERS, FL, 33919, UN |
| Mail Address: | 5611 SOLERA CT, FORT MYERS, FL, 33919, UN |
| ZIP code: | 33919 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417604018 | 2022-03-04 | 2023-11-11 | 5611 SOLERA CT, FORT MYERS, FL, 339193432, US | 5611 SOLERA CT, FORT MYERS, FL, 339193432, US | |||||||||||||
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| Phone | +1 239-339-7356 |
Authorized person
| Name | DR. PAUL MARK BLOOMSTON |
| Role | PHYSICIAN/OWNER |
| Phone | 2393397356 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BLOOMSTON PAUL M | Agent | 5611 SOLERA CT, FORT MYERS, FL, 33919 |
| Name | Role | Address |
|---|---|---|
| Bloomston Paul M | Owne | 5611 Solera Ct, Ft. Myers, FL, 33919 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-01-14 |
| Florida Limited Liability | 2022-02-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
