| Entity Name: | VOLUSIA ASC BZ, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Jun 2020 (5 years ago) |
| Document Number: | M20000005658 |
| FEI/EIN Number | 85-1554243 |
| Address: | 1615 Dr Martin Luther King Blvd, Deltona, FL 32725 |
| Mail Address: | 231 S Bemiston Ave Ste 850, PMB 82567, St. Louis, MO 63105 |
| ZIP code: | 32725 |
| County: | Volusia |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235896713 | 2021-11-19 | 2023-09-10 | 231 S BEMISTON AVE STE 850, SAINT LOUIS, MO, 631051920, US | 1601 LPGA BLVD., DAYTONA BEACH, FL, 32117, US | |||||||||||||||
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| Phone | +1 678-642-5118 |
| Fax | 3145617210 |
Authorized person
| Name | MS. SHEREE LEPPINEN |
| Role | ADMINISTRATOR |
| Phone | 7276928882 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| Price, Timothy | Manager | 231 S Bemiston Ave Ste 850, PMB 82567 Saint Louis, MO 63105 |
| CCA MANAGEMENT, LLC | Manager | No data |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000138665 | ADVANCED HEART AND VASCULAR SURGERY CENTER AT DAYTONA | ACTIVE | 2023-11-13 | 2028-12-31 | No data | 231 S BEMISTON AVE STE 850, PMB 82567, ST. LOUIS, MO, 63105 |
| G22000023890 | ADVANCED HEART AND VASCULAR SURGERY CENTER AT DELTONA | ACTIVE | 2022-01-28 | 2027-12-31 | No data | 231 S BEMISTON AVE SUITE 850, PMB 82567, ST LOUIS, MO, 63105 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-06-30 | 1615 Dr Martin Luther King Blvd, Deltona, FL 32725 | No data |
| CHANGE OF MAILING ADDRESS | 2021-05-17 | 1615 Dr Martin Luther King Blvd, Deltona, FL 32725 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-22 |
| ANNUAL REPORT | 2023-04-27 |
| AMENDED ANNUAL REPORT | 2022-06-30 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-05-17 |
| Foreign Limited | 2020-06-25 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
