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 |
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
Feuer, Jason C | Agent | 1717 WOOLBRIGHT ROAD, BOYNTON BEACH, FL 33426 |
Name | Role | Address |
---|---|---|
FRIEDMAN, LEE M.D. | Manager | 1717 WOOLBRIGHT ROAD, BOYNTON BEACH, FL 33426 |
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 |
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 |
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