| Entity Name: | NASA SURGERY CENTER OF NAPLES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Mar 2024 (10 months ago) |
| Document Number: | L24000138132 |
| Address: | 6770 IMMOKALEE RD, NAPLES, FL, 34119, US |
| Mail Address: | 3451 PINE RIDGE ROAD BLDG #601, NAPLES, FL, 34109, US |
| ZIP code: | 34119 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265289920 | 2024-05-01 | 2024-05-01 | 6770 IMMOKALEE ROAD, NAPLES, FL, 34119, US | 6770 IMMOKALEE ROAD, NAPLES, FL, 34119, US | |||||||||||||
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| Phone | +1 239-449-7900 |
Authorized person
| Name | DR. MICHAEL J VICKERS |
| Role | MEDICAL DIRECTOR |
| Phone | 2394497900 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DELUCA MICHAEL CPA | Agent | 3838 TAMIAMI TRAIL N STE 200, NAPLES, FL, 34103 |
| Name | Role | Address |
|---|---|---|
| NEUROSCIENCE & SPINE ASSOCIATES, PL | Manager | 3451 PINE RIDGE RD BLDG #601, NAPLES, FL, 34109 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
