| Entity Name: | ALPHA AMBULATORY SURGERY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 29 Mar 1990 (35 years ago) |
| Document Number: | L61051 |
| FEI/EIN Number | 593067433 |
| Address: | 2160 CAPITAL CIRCLE N.E., TALLAHASSEE, FL, 32308 |
| Mail Address: | POST OFFICE BOX 13029, TALLAHASSEE, FL, 32317 |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487642195 | 2005-10-07 | 2007-12-17 | PO BOX 13029, TALLAHASSEE, FL, 323173029, US | 2160 CAPITAL CIR NE, SUITE 200, TALLAHASSEE, FL, 323084390, US | |||||||||||||||||||
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| Phone | +1 850-385-0033 |
| Fax | 8504220201 |
Authorized person
| Name | DR. ISSAC MOORE |
| Role | PRESIDENT |
| Phone | 8503850033 |
Taxonomy
| Taxonomy Code | 261QS0132X - Ophthalmologic Surgery Clinic/Center |
| License Number | 829 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KNOWLES, HAROLD M. | Agent | 528 E. PARK AVENUE, TALLAHASSEE, FL, 32301 |
| Name | Role | Address |
|---|---|---|
| MOORE, ISAAC | President | 3908 BOBBIN BROOK CIR, TALLAHASSEE, FL, 323121238 |
| Name | Role | Address |
|---|---|---|
| MOORE, ISAAC | Secretary | 3908 BOBBIN BROOK CIR, TALLAHASSEE, FL, 323121238 |
| Name | Role | Address |
|---|---|---|
| MOORE, ISAAC | Treasurer | 3908 BOBBIN BROOK CIR, TALLAHASSEE, FL, 323121238 |
| Name | Role | Address |
|---|---|---|
| MOORE, ISAAC | Director | 3908 BOBBIN BROOK CIR, TALLAHASSEE, FL, 323121238 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
