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 |
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 | |||||||||||||
|
Phone | +1 305-761-7610 |
Authorized person
Name | JOSHUA SIMON |
Role | CO OWNER |
Phone | 3522153989 |
Taxonomy
Taxonomy Code | 208600000X - Surgery Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
FELICIANO MARIA | Agent | 10059 FREESIAN WAY, WELLINGTON, FL, 33449 |
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 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-12-18 | 4801 Linton Blvd. 10-A, Delray Beach, FL 33445 | No data |
Name | Date |
---|---|
Florida Limited Liability | 2024-02-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State