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SOUTH FLORIDA PREMIER SURGERY LLC

Company Details

Entity Name: SOUTH FLORIDA PREMIER SURGERY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Feb 2024 (a year ago)
Document Number: L24000093742
FEI/EIN Number 991493813
Address: 4801 Linton Blvd. 10-A, Delray Beach, FL, 33445, US
Mail Address: 17459 CIRCLE POND COURT, BOCA RATON, FL, 33496, US
ZIP code: 33445
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912765835 2024-03-06 2024-03-06 PO BOX 7415, DELRAY BEACH, FL, 334827415, US 4801 LINTON BLVD STE 10A, DELRAY BEACH, FL, 334456501, US

Contacts

Phone +1 305-761-7610

Authorized person

Name JOSHUA SIMON
Role CO OWNER
Phone 3522153989

Taxonomy

Taxonomy Code 208600000X - Surgery Physician
Is Primary Yes

Agent

Name Role Address
FELICIANO MARIA Agent 10059 FREESIAN WAY, WELLINGTON, FL, 33449

Manager

Name Role Address
HUS NIR Manager 17459 CIRCLE POND COURT, BOCA RATON, FL, 33496
SIMON JOSHUA Manager 389 E CANNERY ROW, DELRAY BEACH, FL, 33444

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-12-18 4801 Linton Blvd. 10-A, Delray Beach, FL 33445 No data

Documents

Name Date
Florida Limited Liability 2024-02-22

Date of last update: 01 Feb 2025

Sources: Florida Department of State