| Entity Name: | AMELIA ISLAND OUTPATIENT SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Aug 2017 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 05 Oct 2023 (a year ago) |
| Document Number: | M17000007249 |
| FEI/EIN Number | 81-5005814 |
| Address: | 931 village blvd, Suite 905, West Palm Beach, FL 33409 |
| Mail Address: | 931 Village blvd, Suite 905, West Palm Beach, FL 33409 |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508305038 | 2017-02-16 | 2020-03-11 | 2416 LYNNDALE RD, FERNANDINA BEACH, FL, 320345201, US | 2416 LYNNDALE RD, FERNANDINA BEACH, FL, 320345201, US | |||||||||||||
|
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| Phone | +1 561-358-1399 |
Authorized person
| Name | AMOS DARE |
| Role | MEDICAL DIRECTOR |
| Phone | 5613581399 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| McMenemy, Chris | Agent | 931 village blvd, Suite 905-234, West Palm Beach, FL 33409 |
| Name | Role | Address |
|---|---|---|
| Marchetti, Maria | Manager | 2416 Lynndale Road, Fernandina Beach, FL 32034 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-15 | 931 village blvd, Suite 905, West Palm Beach, FL 33409 | No data |
| CHANGE OF MAILING ADDRESS | 2024-06-15 | 931 village blvd, Suite 905, West Palm Beach, FL 33409 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-06-15 | McMenemy, Chris | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-06-15 | 931 village blvd, Suite 905-234, West Palm Beach, FL 33409 | No data |
| REINSTATEMENT | 2023-10-05 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-06-15 |
| AMENDED ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2024-03-05 |
| AMENDED ANNUAL REPORT | 2023-10-16 |
| REINSTATEMENT | 2023-10-05 |
| ANNUAL REPORT | 2022-08-16 |
| ANNUAL REPORT | 2021-07-27 |
| ANNUAL REPORT | 2020-05-05 |
| ANNUAL REPORT | 2019-07-10 |
| ANNUAL REPORT | 2018-04-18 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
