| Entity Name: | PONTE VEDRA SURGERY CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Jun 2002 (23 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P02000063221 |
| FEI/EIN Number | 900044020 |
| Address: | 232 PONTE VEDRA DR. N., PONTE VEDRA BEACH, FL, 32082 |
| Mail Address: | 232 PONTE VEDRA DR. N., PONTE VEDRA BEACH, FL, 32082 |
| ZIP code: | 32082 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235168469 | 2006-07-01 | 2020-08-22 | 232 PONTE VEDRA PARK DR, PONTE VEDRA BEACH, FL, 320826600, US | 232 PONTE VEDRA PARK DR, PONTE VEDRA BEACH, FL, 320826600, US | |||||||||||||||||||
|
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| Phone | +1 904-285-7546 |
| Fax | 9042738511 |
Authorized person
| Name | DR. DAVID T HARVEY |
| Role | MEDICAL DIRECTOR |
| Phone | 9042857546 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 14960502 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HARVEY DAVID T | Agent | 232 PONTE VERDA PARK DR., JACKSONVILLE, FL, 32202 |
| Name | Role | Address |
|---|---|---|
| HARVEY DAVID T | Director | 232 PONTE VEDRA PARK DR. N., PONTE VEDRA BEACH, FL, 32082 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-24 | 232 PONTE VERDA PARK DR., SUITE 900, JACKSONVILLE, FL 32202 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-01-24 | 232 PONTE VEDRA DR. N., PONTE VEDRA BEACH, FL 32082 | No data |
| CHANGE OF MAILING ADDRESS | 2005-01-24 | 232 PONTE VEDRA DR. N., PONTE VEDRA BEACH, FL 32082 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-01-24 | HARVEY, DAVID T | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-02-13 |
| ANNUAL REPORT | 2008-02-01 |
| ANNUAL REPORT | 2007-01-31 |
| ANNUAL REPORT | 2006-04-24 |
| ANNUAL REPORT | 2005-01-24 |
| ANNUAL REPORT | 2004-03-09 |
| ANNUAL REPORT | 2003-02-28 |
| Domestic Profit | 2002-06-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
