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SOUTH LAKE SURGICAL ASSISTANT SERVICES L.L.C. - Florida Company Profile

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Company Details

Entity Name: SOUTH LAKE SURGICAL ASSISTANT SERVICES L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 30 Mar 2022 (3 years ago)
Document Number: L22000153571
FEI/EIN Number 88-2143958
Address: 20 VIA DE CASAS SUR, 204, BOYNTON BEACH, FL, 33426, US
Mail Address: 20 VIA DE CASAS SUR, 204, BOYNTON BEACH, FL, 33426, US
ZIP code: 33426
City: Boynton Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GRANADOS DANIEL A Manager 20 VIA DE CASAS SUR #204, BOYNTON BEACH, FL, 33426
GRANADOS DANIEL A Agent 20 VIA DE CASAS SUR, BOYNTON BEACH, FL, 33426

National Provider Identifier

NPI Number:
1447958434
Certification Date:
2023-02-20

Authorized Person:

Name:
DANIEL ANGELO GRANADOS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363AS0400X - Surgical Physician Assistant
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2024-03-27
ANNUAL REPORT 2023-04-06
Florida Limited Liability 2022-03-30

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Date of last update: 01 Aug 2025

Sources: Florida Department of State