| Entity Name: | THE BOCA RATON OPHTHALMOLOGY ASC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Dec 1998 (26 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 17 May 2017 (8 years ago) |
| Document Number: | M98000001480 |
| FEI/EIN Number | 62-6350623 |
| Address: | 1A BURTON HILLS BLVD, SUITE 300, NASHVILLE, TN 37215 |
| Mail Address: | 1A BURTON HILLS BLVD, SUITE 300, NASHVILLE, TN 37215 |
| Place of Formation: | TENNESSEE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457323107 | 2006-02-06 | 2022-10-31 | 1A BURTON HILLS BLVD # L&C, NASHVILLE, TN, 372156187, US | 950 NW 13TH ST, BOCA RATON, FL, 334862310, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 615-240-3820 |
| Fax | 6152341720 |
| Phone | +1 561-391-7642 |
| Fax | 5613912854 |
Authorized person
| Name | MR. JEFFREY SNODGRASS |
| Role | PRESIDENT |
| Phone | 6156651283 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1073 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | HUMANA MILITARY HEALTHCA |
| Number | 62650623 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Reber, Paige | SECRETARY | 1A BURTON HILLS BLVD, SUITE 300 NASHVILLE, TN 37215 |
| Name | Role |
|---|---|
| AMSURG HOLDINGS, LLC | Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000112176 | OUTPATIENT SURGERY CENTER OF BOCA | ACTIVE | 2024-09-09 | 2029-12-31 | No data | 1A BURTON HILLS BLVD SUITE 300, NASHVILLE, TN, 37215 |
| G08028700098 | OUTPATIENT SURGERY CENTER OF BOCA | EXPIRED | 2008-01-28 | 2013-12-31 | No data | 950 NW 13TH ST, BOCA RATON, FL, 33486 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-23 | 1A BURTON HILLS BLVD, SUITE 300, NASHVILLE, TN 37215 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-23 | 1A BURTON HILLS BLVD, SUITE 300, NASHVILLE, TN 37215 | No data |
| LC STMNT OF RA/RO CHG | 2017-05-17 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-05-17 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-05-17 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-28 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-25 |
| CORLCRACHG | 2017-05-17 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-03-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
