MIAMI SURGERY CENTER, LLC - Florida Company Profile

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Company Details

Entity Name:	MIAMI SURGERY CENTER, LLC
Jurisdiction:	FLORIDA
Filing Type:	Foreign Limited Liability Co.
Status:	Active
Date Filed:	08 Jan 2007 (19 years ago)
Last Event:	LC AMENDMENT
Event Date Filed:	21 Oct 2011 (14 years ago)
Document Number:	M07000000136
FEI/EIN Number	36-4600281
Address:	3650 NW 82nd Avenue, Suite 101, Miami, FL, 33166, US
Mail Address:	3650 NW 82nd Avenue, Suite 101, Miami, FL, 33166, US
ZIP code:	33166
City:	Miami
County:	Miami-Dade
Place of Formation:	DELAWARE

Key Officers & Management

Name	Role	Address
Fuller Alex	Manager	3650 NW 82nd Avenue, Miami, FL, 33166
Garcia Peter	Manager	3650 NW 82nd Avenue, Miami, FL, 33166
Herrera Mauricio	Manager	3650 NW 82nd Avenue, Miami, FL, 33166
Hyde Jonathan	Manager	3650 NW 82nd Avenue, Miami, FL, 33166
Sparks Andrew	Manager	3650 NW 82nd Avenue, Miami, FL, 33166
Lambert Nick	Manager	3650 NW 82nd Avenue, Miami, FL, 33166
-	Agent	-

National Provider Identifier

NPI Number:

1386821817

Link:

View on NPI website

Authorized Person:

Name:

MS. JAYNE KIRKMAN

Role:

CLINICAL ADMINISTRATOR

Phone:

3053417280

Taxonomy:

Selected Taxonomy:

261QA1903X - Ambulatory Surgical Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 305-341-7280

Fax:

3053417290

Form 5500 Series

Employer Identification Number (EIN):

364600281

Plan Year:

2016

Number Of Participants:

31

Sponsors Telephone Number:

9166143611

File:

Plan Year:

2016

Number Of Participants:

27

Sponsors Telephone Number:

9166143611

File:

Plan Year:

2015

Number Of Participants:

20

Sponsors Telephone Number:

3053417280

File:

Plan Year:

2014

Number Of Participants:

19

Sponsors Telephone Number:

3053417280

File:

Plan Year:

2013

Number Of Participants:

18

Sponsors Telephone Number:

9166143611

File:

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G20000016854	THE SURGERY CENTER AT DORAL	ACTIVE	2020-02-06	2025-12-31	-	3650 NW 82 AVENUE, SUITE 101, MIAMI, FL, 33166
G14000037343	SURGERY CENTER AT DORAL	EXPIRED	2014-04-15	2019-12-31	-	3650 NW 82 AVE SUITE 101, MAIMI, FL, 33166

Events

Event Type	Filed Date	Value	Description
CHANGE OF PRINCIPAL ADDRESS	2021-04-25	3650 NW 82nd Avenue, Suite 101, Miami, FL 33166	-
CHANGE OF MAILING ADDRESS	2021-04-25	3650 NW 82nd Avenue, Suite 101, Miami, FL 33166	-
LC AMENDMENT	2011-10-21	-	-

Documents

Name	Date
ANNUAL REPORT	2024-04-21
ANNUAL REPORT	2023-04-27
ANNUAL REPORT	2022-04-21
ANNUAL REPORT	2021-04-25
ANNUAL REPORT	2020-05-27
ANNUAL REPORT	2019-03-27
ANNUAL REPORT	2018-04-09
ANNUAL REPORT	2017-04-12
ANNUAL REPORT	2016-02-01
ANNUAL REPORT	2015-03-24

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Date of last update: 02 Jul 2025

Sources: Florida Department of State