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SOUTH FLORIDA CHILDREN'S SURGERY CENTER LLC

Company Details

Entity Name: SOUTH FLORIDA CHILDREN'S SURGERY CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 12 Aug 2022 (2 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 06 Oct 2023 (a year ago)
Document Number: M22000012682
FEI/EIN Number 88-3694471
Address: 182 Industrial Rd., Glen Rock, PA, 17327, US
Mail Address: 182 Industrial Rd., Glen Rock, PA, 17327, US
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003644154 2024-07-22 2024-07-22 9709 LAKESIDE BLVD STE 350, SPRING, TX, 773811213, US 4650 N DIXIE HWY, OAKLAND PARK, FL, 333343925, US

Contacts

Phone +1 713-489-2198
Fax 7134892978
Phone +1 754-200-3864
Fax 9542561002

Authorized person

Name DEVIN LARSEN
Role CEO
Phone 2083401840

Taxonomy

Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary Yes

Agent

Name Role
C T CORPORATION SYSTEM Agent

Manager

Name Role Address
Larsen Devin Manager 182 Industrial Rd., Glen Rock, PA, 17327
Smythe Dennis Manager 182 Industrial Rd., Glen Rock, PA, 17327

Chief Executive Officer

Name Role Address
Figueroa Raymond D Chief Executive Officer 182 Industrial Rd., Glen Rock, PA, 17327

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000110739 FT. LAUDERDALE CHILDREN'S SURGERY CENTER ACTIVE 2024-09-05 2029-12-31 No data 9709 LAKESIDE BLVD, SUITE 350, SPRING, TX, 77381

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-22 182 Industrial Rd., Glen Rock, PA 17327 No data
CHANGE OF MAILING ADDRESS 2024-03-22 182 Industrial Rd., Glen Rock, PA 17327 No data
REINSTATEMENT 2023-10-06 No data No data
REGISTERED AGENT NAME CHANGED 2023-10-06 C T CORPORATION SYSTEM No data
REVOKED FOR ANNUAL REPORT 2023-09-22 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-22
REINSTATEMENT 2023-10-06
Foreign Limited 2022-08-12

Date of last update: 01 Feb 2025

Sources: Florida Department of State