| Entity Name: | WEST PALM BEACH CHILDREN'S SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Jun 2023 (2 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 03 Aug 2023 (2 years ago) |
| Document Number: | L23000283297 |
| FEI/EIN Number | 65-0789191 |
| Address: | 182 Industrial Road, Glen Rock, PA, 17327, US |
| Mail Address: | 182 Industrial Road, Glen Rock, PA, 17327, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952404550 | 2006-09-07 | 2023-08-04 | 1620 S CONGRESS AVENUE, SUITE 101, PALM SPRINGS, FL, 33461, US | 1620 S CONGRESS AVENUE, SUITE 101, PALM SPRINGS, FL, 33461, US | |||||||||||||||
|
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| Phone | +1 561-968-2007 |
| Fax | 5619681046 |
Authorized person
| Name | DEVIN LARSEN |
| Role | CEO |
| Phone | 2083401840 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| LARSEN DEVIN | Member | 182 Industrial Road, Glen Rock, PA, 17327 |
| LARSEN DENNIS | Member | 182 Industrial Road, Glen Rock, PA, 17327 |
| Name | Role | Address |
|---|---|---|
| Figueroa Raymond D | Chief Executive Officer | 182 Industrial Road, Glen Rock, PA, 17327 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-29 | 182 Industrial Road, Glen Rock, PA 17327 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-29 | 182 Industrial Road, Glen Rock, PA 17327 | No data |
| LC AMENDMENT AND NAME CHANGE | 2023-08-03 | WEST PALM BEACH CHILDREN'S SURGERY CENTER, LLC | No data |
| CONVERSION | 2023-06-13 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P97000044180. CONVERSION NUMBER 500000241175 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| LC Amendment and Name Change | 2023-08-03 |
| Florida Limited Liability | 2023-06-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
