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BOYNTON BEACH ASC, LLC

Company Details

Entity Name: BOYNTON BEACH ASC, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Company
Status: Active
Date Filed: 13 Apr 2004 (21 years ago)
Document Number: M04000001391
FEI/EIN Number 26-0084502
Address: 1717 WOOLBRIGHT ROAD, BOYNTON BEACH, FL 33426
Mail Address: 1717 WOOLBRIGHT ROAD, BOYNTON BEACH, FL 33426
ZIP code: 33426
County: Palm Beach
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861550246 2006-12-05 2020-08-22 1717 W WOOLBRIGHT RD, BOYNTON BEACH, FL, 334266319, US 1717 W WOOLBRIGHT RD, BOYNTON BEACH, FL, 334266319, US

Contacts

Phone +1 561-737-8031
Fax 5617365062

Authorized person

Name DR. LEE S FRIEDMAN
Role MEDICAL DIRECTOR
Phone 5617375500

Taxonomy

Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
License Number 903
State FL
Is Primary Yes

Agent

Name Role Address
Feuer, Jason C Agent 1717 WOOLBRIGHT ROAD, BOYNTON BEACH, FL 33426

Manager

Name Role Address
FRIEDMAN, LEE M.D. Manager 1717 WOOLBRIGHT ROAD, BOYNTON BEACH, FL 33426

Director

Name Role Address
KATZ, RANDY SM.D. Director 1717 WOOLBRIGHT ROAD, BOYNTON BEACH, FL 33426
SCHECHTER, BARRY AM.D. Director 1717 WOOLBRIGHT ROAD, BOYNTON BEACH, FL 33426

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-02-04 Feuer, Jason C No data
REGISTERED AGENT ADDRESS CHANGED 2019-02-04 1717 WOOLBRIGHT ROAD, BOYNTON BEACH, FL 33426 No data
CHANGE OF PRINCIPAL ADDRESS 2009-01-29 1717 WOOLBRIGHT ROAD, BOYNTON BEACH, FL 33426 No data
CHANGE OF MAILING ADDRESS 2009-01-29 1717 WOOLBRIGHT ROAD, BOYNTON BEACH, FL 33426 No data

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-02-03
ANNUAL REPORT 2019-02-04
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-01-12

Date of last update: 05 Jan 2025

Sources: Florida Department of State