Entity Name: | SOUTH FLORIDA SAME DAY SURGERY CENTER, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 01 Sep 2022 (2 years ago) |
Document Number: | L22000386018 |
FEI/EIN Number | 920409173 |
Address: | 150 SW 12TH AVENUE, SUITE 450, POMPANO BEACH, FL, 33069, UN |
Mail Address: | 49 NORTH FEDERAL HIGHWAY, SUITE 327, POMPANO BEACH, 33062, UN |
ZIP code: | 33069 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1831807288 | 2022-11-14 | 2023-11-20 | 49 N FEDERAL HWY STE 327, POMPANO BEACH, FL, 330624304, US | 150 SW 12TH AVE STE 450, POMPANO BEACH, FL, 330693200, US | |||||||||||||||||||||
|
Phone | +1 954-532-1160 |
Fax | 9546031743 |
Authorized person
Name | MS. EMILY SPOONER |
Role | CEO |
Phone | 4022165226 |
Taxonomy
Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
Is Primary | Yes |
Other Provider Identifiers
Issuer | AHCA LICENSE NUMBER |
Number | 1015 |
State | FL |
Name | Role |
---|---|
NORTHWEST REGISTERED AGENT LLC | Agent |
Name | Role | Address |
---|---|---|
SPOONER EMILY | Chief Executive Officer | 150 SW 12TH AVENUE, SUITE 450, POMPANO BEACH, FL, 33069 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC AMENDMENT | 2025-01-15 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2024-03-27 | 150 SW 12TH AVENUE, SUITE 450, POMPANO BEACH, FL 33069 UN | No data |
CHANGE OF MAILING ADDRESS | 2024-03-27 | 150 SW 12TH AVENUE, SUITE 450, POMPANO BEACH, FL 33069 UN | No data |
REGISTERED AGENT NAME CHANGED | 2024-03-27 | NORTHWEST REGISTERED AGENT LLC | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-27 |
ANNUAL REPORT | 2023-04-26 |
Florida Limited Liability | 2022-09-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State