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SOUTH FLORIDA PREMIER SURGERY LLC - Florida Company Profile

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Company Details

Entity Name: SOUTH FLORIDA PREMIER SURGERY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Feb 2024 (2 years 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
City: Delray Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

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

National Provider Identifier

NPI Number:
1912765835
Certification Date:
2025-04-04

Authorized Person:

Name:
JOSHUA SIMON
Role:
CO OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
No
Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000046520 SOUTH FLORIDA PREMIER MEDICINE ACTIVE 2025-04-04 2030-12-31 - 4801 LINTON BLVD, #10-A, DELRAY BEACH, FL, 33445

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-12-18 4801 Linton Blvd. 10-A, Delray Beach, FL 33445 -

Documents

Name Date
Florida Limited Liability 2024-02-22

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Date of last update: 01 Aug 2025

Sources: Florida Department of State