| Entity Name: | THORACIC SURGERY ASSOCIATES OF CENTRAL FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Apr 2018 (7 years ago) |
| Document Number: | M18000003423 |
| FEI/EIN Number | 822519868 |
| Address: | 737 W OAK ST, KISSIMMEE, FL, 34741, US |
| Mail Address: | 737 W OAK ST, KISSIMMEE, FL, 34741, US |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093231250 | 2017-08-19 | 2024-02-02 | 737 W OAK ST, KISSIMMEE, FL, 347414937, US | 737 W OAK ST, KISSIMMEE, FL, 347414937, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 407-279-0334 |
| Fax | 4075573264 |
Authorized person
| Name | DR. ANTHONY IAN NUNEZ |
| Role | OWNER |
| Phone | 4072790334 |
Taxonomy
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| License Number | ME121555 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 104740100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NUNEZ REBECCA | Agent | 737 W OAK ST, KISSIMMEE, FL, 34741 |
| Name | Role | Address |
|---|---|---|
| NUNEZ ANTHONY | Managing Member | 737 W OAK ST, KISSIMMEE, FL, 34741 |
| Name | Role | Address |
|---|---|---|
| NUNEZ REBECCA | Secretary | 737 W OAK ST, KISSIMMEE, FL, 34741 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-27 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-02-26 |
| ANNUAL REPORT | 2021-01-06 |
| ANNUAL REPORT | 2020-04-13 |
| ANNUAL REPORT | 2019-04-02 |
| Foreign Limited | 2018-04-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
