| Entity Name: | EAST FORT LAUDERDALE ASC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Jun 2017 (8 years ago) |
| Document Number: | M17000005289 |
| FEI/EIN Number | 82-1945127 |
| Address: | 40 Valley Stream Pkwy,, Malvern, PA 19355 |
| Mail Address: | 40 Valley Stream Pkwy,, Malvern, PA 19355 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740771708 | 2018-05-25 | 2023-11-03 | DEPT #6032, PO BOX 4417, HOUSTON, TX, 772104417, US | 1925 NE 45TH ST STE 100, FT LAUDERDALE, FL, 333085158, US | |||||||||||||||||||
|
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| Phone | +1 610-644-8900 |
| Fax | 6105376059 |
| Phone | +1 954-651-9847 |
| Fax | 9549906191 |
Authorized person
| Name | GREGG MILLER |
| Role | SR. VICE PRESIDENT |
| Phone | 6106448900 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Mello, Bryan | Assistant Treasurer | 40 Valley Stream Pkwy,, Malvern, PA 19355 |
| Name | Role |
|---|---|
| CARDIAC CATH LAB OF EAST FORT LAUDERDALE, LLC | Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000060563 | FT. LAUDERDALE HEART & RHYTHM SURGERY CENTER | ACTIVE | 2023-05-15 | 2028-12-31 | No data | 1925 NE 45TH STREET, FT. LAUDERDALE, FL, 33308 |
| G17000116961 | FT. LAUDERDALE HEART & RHYTHN SURGERY CENTER | EXPIRED | 2017-10-24 | 2022-12-31 | No data | 920 WINTER ST., WALTHAM, MA, 02451 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-05 | 40 Valley Stream Pkwy,, Malvern, PA 19355 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-05 | 40 Valley Stream Pkwy,, Malvern, PA 19355 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-04-23 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-05 |
| Foreign Limited | 2017-06-21 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
