| Entity Name: | VERO BEACH FLORIDA ASC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Apr 2016 (9 years ago) |
| Document Number: | M16000003428 |
| FEI/EIN Number | 30-0936810 |
| Address: | 4000 MERIDIAN BLVD, FRANKLIN, TN 37067 |
| Mail Address: | 4000 MERIDIAN BLVD, FRANKLIN, TN 37067 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548613755 | 2016-07-22 | 2024-08-21 | 845 37TH PL, VERO BEACH, FL, 329606564, US | 845 37TH PL, VERO BEACH, FL, 329606564, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 772-617-8010 |
| Phone | +1 772-778-0600 |
| Fax | 7727784005 |
Authorized person
| Name | KRISTY MUSIC |
| Role | AO- DIRECTOR, PROVIDER ENROLLMENT |
| Phone | 6154657377 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Pitt, Justin D. | Manager | 4000 MERIDIAN BLVD, FRANKLIN, TN 37067 |
| Hammons, Kevin J | Manager | 4000 MERIDIAN BLVD, FRANKLIN, TN 37067 |
| Cash, W. Bradley | Manager | 4000 MERIDIAN BLVD, FRANKLIN, TN 37067 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000052396 | VERO BEACH SURGERY CENTER | ACTIVE | 2017-05-11 | 2027-12-31 | No data | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| G16000052930 | SEBASTIAN RIVER SURGERY CENTER | EXPIRED | 2016-05-26 | 2021-12-31 | No data | 845 37TH PLACE, VERO BEACH, FL, 32960 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-04-24 |
| ANNUAL REPORT | 2021-04-24 |
| ANNUAL REPORT | 2020-06-03 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-18 |
| Foreign Limited | 2016-04-27 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
