| Entity Name: | AMERICAN ACCESS CARE OF JACKSONVILLE ASC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 01 Dec 2016 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 10 Feb 2017 (8 years ago) |
| Document Number: | M16000009598 |
| FEI/EIN Number |
81-4635841
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 920 Winter Street, Waltham, MA, 02451, US |
| Mail Address: | 920 Winter Street, Waltham, MA, 02451, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578094462 | 2017-03-23 | 2024-06-28 | PO BOX 419642, BOSTON, MA, 022419642, US | 2416 DUNN AVE, JACKSONVILLE, FL, 322184604, US | |||||||||||||||||||||||
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| Phone | +1 610-644-8900 |
| Fax | 4849240053 |
| Phone | +1 904-353-3664 |
Authorized person
| Name | GREGG MILLER |
| Role | AUTHORIZED OFFICIAL |
| Phone | 6106448900 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 101656000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AMERICAN ACCESS CARE OF JACKSONVILLE, LLC | Member | - |
| C T CORPORATION SYSTEM | Agent | - |
| MELLO BRYAN | ASSI | 920 Winter Street, Waltham, MA, 02451 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000043369 | AZURA SURGERY CENTER JACKSONVILLE | EXPIRED | 2019-04-05 | 2024-12-31 | - | 920 WINTER ST, WALTHAM, MA, 02451 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-31 | 920 Winter St., Waltham, MA 02451 | - |
| CHANGE OF MAILING ADDRESS | 2025-01-31 | 920 Winter St., Waltham, MA 02451 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-09 | 920 Winter Street, Waltham, MA 02451 | - |
| CHANGE OF MAILING ADDRESS | 2024-01-09 | 920 Winter Street, Waltham, MA 02451 | - |
| LC AMENDMENT | 2017-02-10 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-31 |
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-03-21 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-04-23 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-04 |
| LC Amendment | 2017-02-10 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
