| Entity Name: | EYE CARE AND SURGERY CENTER OF FT LAUDERDALE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Jul 2004 (21 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 18 Oct 2023 (a year ago) |
| Document Number: | M04000002720 |
| FEI/EIN Number | 20-1344254 |
| Address: | 7600 Corporate Center Drive, Suite 200, Miami, FL 33126 |
| Mail Address: | 7600 Corporate Center Drive, Suite 200, Miami, FL 33126 |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467458281 | 2005-06-27 | 2024-06-19 | 1097 S LE JEUNE RD FL 2, CORAL GABLES, FL, 331342639, US | 2540 NE 9TH ST, FORT LAUDERDALE, FL, 333043525, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 305-442-2020 |
| Fax | 3054427354 |
Authorized person
| Name | ALBERTO J. ARAN |
| Role | MEDICAL DIRECTOR |
| Phone | 3054422020 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | 1004 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1004 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 106480200 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| ARAN, ALBERT | Manager | 7600 Corporate Center Drive, Suite 200 Miami, FL 33126 |
| Plevyak, Dave | Manager | 3333 Quality Drive, Rancho Cordova, CA 95670 |
| Balius, Emilio | Manager | 7600 Corporate Center Drive, Suite 200 Miami, FL 33126 |
| Harrold, Jason | Manager | 45 Ballas Court, St. Louis, MO 63131 |
| Stellmacher, Ken | Manager | 7600 Corporate Center Drive, Suite 200 Miami, FL 33126 |
| Passuello, Lester Earl | Manager | 3333 Quality Drive, Rancho Cordova, CA 95670 |
| Name | Role | Address |
|---|---|---|
| Stern , Lee | Authorized Representative | 7600 Corporate Center Drive, Suite 200 Miami, FL 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-08 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-08 | 7600 Corporate Center Drive, Suite 200, Miami, FL 33126 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-08 | 7600 Corporate Center Drive, Suite 200, Miami, FL 33126 | No data |
| LC STMNT OF RA/RO CHG | 2023-10-18 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-10-18 | CORPORATION SERVICE COMPANY | No data |
| REINSTATEMENT | 2011-09-26 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| LC AMENDMENT | 2011-09-21 | No data | No data |
| REINSTATEMENT | 2010-10-19 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| CORLCRACHG | 2023-10-18 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-26 |
| AMENDED ANNUAL REPORT | 2021-11-01 |
| AMENDED ANNUAL REPORT | 2021-08-26 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-02-17 |
| ANNUAL REPORT | 2019-02-25 |
| ANNUAL REPORT | 2018-01-29 |
Date of last update: 05 Jan 2025
Sources: Florida Department of State
