| Entity Name: | RIVERSIDE KINGSLEY ENDOSCOPY SURGICENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Jul 2024 (6 months ago) |
| Document Number: | M24000009445 |
| FEI/EIN Number | 993962910 |
| Address: | ONE PARK PLAZA, NASHVILLE, TN, 37203, US |
| Mail Address: | P.O. BOX 750, NASHVILLE, TN, 37202, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013739440 | 2024-10-28 | 2024-10-28 | 2151 RIVERSIDE AVE STE 1, JACKSONVILLE, FL, 322044416, US | 2151 RIVERSIDE AVE STE 1, JACKSONVILLE, FL, 322044416, US | |||||||||||||
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| Phone | +1 904-388-8686 |
Authorized person
| Name | WILLIAM G SWINNEY |
| Role | VP/CFO |
| Phone | 9727892877 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role |
|---|---|
| RIVERSIDE KINGSLEY ENDOSCOPY HOLDINGS, LLC | Manager |
| Name | Role |
|---|---|
| RIVERSIDE KINGSLEY ENDOSCOPY HOLDINGS, LLC | Member |
| Name | Date |
|---|---|
| Foreign Limited | 2024-07-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
