| Entity Name: | ADVANCED PALM BEACH ASC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Jul 2022 (3 years ago) |
| Document Number: | M22000010777 |
| FEI/EIN Number | 88-0834885 |
| Address: | 8240 S State Road 7, Ste 180, Boynton Beach, FL 33472 |
| Mail Address: | 231 S BEMISTON AVE STE 850 PMB 82567, ST LOUIS, MO 63105-1920 |
| ZIP code: | 33472 |
| County: | Palm Beach |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255182325 | 2024-03-28 | 2024-04-27 | 231 S BEMISTON AVE STE 850 PMB 82567, SAINT LOUIS, MO, 63105, US | 8240 S STATE ROAD 7 STE 180, BOYNTON BEACH, FL, 334724516, US | |||||||||||||
|
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| Phone | +1 727-692-8882 |
Authorized person
| Name | SHEREE LEPPINEN |
| Role | ADMINISTRATOR |
| Phone | 7276928882 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Leppinen, Sheree | Agent | 5002 Dory Drive, New Port Richey, FL 34652-4457 |
| Name | Role | Address |
|---|---|---|
| PRICE, TIMOTHY | Manager | 231 S BEMISTON AVE STE 850 PMB 82567, ST LOUIS, MO 63105-1920 |
| Name | Role | Address |
|---|---|---|
| CCA OPCP HOLDCO PALM BEACH, LLC | Member | 231 S BEMISTON AVE STE 850 PMB 82567, ST LOUIS, MO 63105-1920 |
| MSPB CARDIOLOGY MANAGEMENT GROUP, LLC | Member | No data |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000064565 | CARDIOVASCULAR SURGERY CENTER OF THE PALM BEACHES | ACTIVE | 2024-05-19 | 2029-12-31 | No data | 231 S BEMISTON AVE STE 850, PMB 82567, ST. LOUIS, MO, 63105 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-13 | 8240 S State Road 7, Ste 180, Boynton Beach, FL 33472 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-05-13 | Leppinen, Sheree | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-05-13 | 5002 Dory Drive, New Port Richey, FL 34652-4457 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-05-13 |
| ANNUAL REPORT | 2024-03-22 |
| ANNUAL REPORT | 2023-04-19 |
| Foreign Limited | 2022-07-12 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
