| Entity Name: | DURBIN CROSSING ENDOSCOPY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Jun 2022 (3 years ago) |
| Document Number: | L22000292385 |
| FEI/EIN Number | 88-3048882 |
| Address: | 14201 DALLAS PKWY, FL 13, DALLAS, TX 75254 |
| Mail Address: | 14201 DALLAS PKWY, FL 13, DALLAS, TX 75254 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871343681 | 2024-03-25 | 2024-09-13 | 14201 DALLAS PKWY, DALLAS, TX, 752542916, US | 150 LONGLEAF PINE PKWY, ST JOHNS, FL, 322597529, US | |||||||||||||
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| Phone | +1 469-872-4706 |
Authorized person
| Name | COLLIN LEMAISTRE |
| Role | OFFICER/AUTHORIZED OFFICIAL |
| Phone | 2142130732 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| LEMAISTRE, COLLIN | President | 14201 DALLAS PKWY, FL 13, DALLAS, TX 75254 |
| Name | Role | Address |
|---|---|---|
| BOWDEN, JAMES | Vice President | 14201 DALLAS PKWY, FL 13, DALLAS, TX 75254 |
| Name | Role |
|---|---|
| USP JACKSONVILLE, INC. | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000135569 | DURBIN CROSSING ENDOSCOPY CENTER | ACTIVE | 2023-11-03 | 2028-12-31 | No data | 14201 DALLAS PKWY, FL 13, DALLAS, TX, 75254 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-02 |
| ANNUAL REPORT | 2023-04-18 |
| Florida Limited Liability | 2022-06-28 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
