| Entity Name: | PA SURGICAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PA SURGICAL, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 20 Mar 2003 (22 years ago) |
| Date of dissolution: | 27 Sep 2024 (7 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (7 months ago) |
| Document Number: | P03000033804 |
| FEI/EIN Number |
510454607
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 5500 MILITARY TRAIL, JUPITER, FL, 33458, US |
| Address: | 5500 Military Trail, Jupiter, FL, 33458, US |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942313879 | 2006-08-16 | 2020-09-22 | 621 NW 53RD ST STE 330, BOCA RATON, FL, 334878281, US | 621 NW 53RD ST STE 330, BOCA RATON, FL, 334878281, US | |||||||||||||||||||||||||||
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| Phone | +1 800-488-0279 |
| Fax | 8669028817 |
| Phone | +1 561-440-7612 |
Authorized person
| Name | NANCY T BOURG |
| Role | CEO |
| Phone | 5618891227 |
Taxonomy
| Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
| Is Primary | Yes |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS PROVIDER NUMBER |
| Number | X1578 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Bourg Nancy | President | 5500 Military Trail, Jupiter, FL, 33458 |
| Carpenter Joseph EJr. | Agent | 111 SE 12 Street, Fort Lauderdale, FL, 33316 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-18 | 5500 Military Trail, Suite 22-324, Jupiter, FL 33458 | - |
| CHANGE OF MAILING ADDRESS | 2021-01-05 | 5500 Military Trail, Suite 22-324, Jupiter, FL 33458 | - |
| AMENDMENT | 2018-05-14 | - | - |
| REGISTERED AGENT NAME CHANGED | 2018-01-09 | Carpenter, Joseph E, Jr. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-09 | 111 SE 12 Street, Fort Lauderdale, FL 33316 | - |
| AMENDMENT | 2013-05-17 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-05-14 |
| ANNUAL REPORT | 2019-04-15 |
| Amendment | 2018-05-14 |
| ANNUAL REPORT | 2018-01-09 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-04-25 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2445428501 | 2021-02-20 | 0455 | PPS | 5500 Military Trl Ste 22-324, Jupiter, FL, 33458-2869 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9479577308 | 2020-05-02 | 0455 | PPP | 621 NW 53RD STREET, BOCA RATON, FL, 33487-3748 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
