| Entity Name: | FLORIDA SURGICAL ASSISTANTS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Jan 2004 (21 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P04000005303 |
| FEI/EIN Number | 800091415 |
| Address: | 11750 SW BIRD ROAD, MIAMI, FL, 33265, US |
| Mail Address: | P.O. BOX 65-0990, MIAMI, FL, 33265-0990, US |
| ZIP code: | 33265 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912078916 | 2006-11-13 | 2010-04-02 | PO BOX 650990, MIAMI, FL, 33265, US | 11750 SW 40 ST, MIAMI, FL, 33175, US | |||||||||||||||||||||||
|
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| Phone | +1 305-223-3000 |
| Fax | 3052285435 |
| Phone | +1 305-227-5557 |
Authorized person
| Name | MR. JULIO VALDES |
| Role | PRESIDENT |
| Phone | 3052233000 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL DIRECTOR |
| Number | ME32361 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VALDES JULIO | Agent | 11750 SW BIRD ROAD, MIAMI, FL, 33265 |
| Name | Role | Address |
|---|---|---|
| VALDES JULIO | President | 8809 NW 145 TERRACE, MIAMI, FL, 33018 |
| Name | Role | Address |
|---|---|---|
| VALDES JULIO | Director | 8809 NW 145 TERRACE, MIAMI, FL, 33018 |
| ACENCIO DOMINGO | Director | 6250 SW 130 AVE, #704, MIAMI, FL, 33183 |
| HERNANDEZ FRANCISCO | Director | 1335 W 49 PLACE, #402, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| ACENCIO DOMINGO | Vice President | 6250 SW 130 AVE, #704, MIAMI, FL, 33183 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ FRANCISCO | Treasurer | 1335 W 49 PLACE, #402, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ FRANCISCO | Secretary | 1335 W 49 PLACE, #402, HIALEAH, FL, 33012 |
| ABREU SANTIAGO | Secretary | 14308 SW 21 TERRACE, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| AMENDMENT | 2015-10-16 | No data | No data |
| AMENDMENT | 2013-04-03 | No data | No data |
| AMENDMENT | 2011-09-08 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-03-26 | 11750 SW BIRD ROAD, MIAMI, FL 33265 | No data |
| AMENDMENT | 2006-10-03 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-10-03 | 11750 SW BIRD ROAD, MIAMI, FL 33265 | No data |
| AMENDMENT | 2004-06-17 | No data | No data |
| AMENDMENT | 2004-02-12 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2001-06-17 | 11750 SW BIRD ROAD, MIAMI, FL 33265 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-08 |
| ANNUAL REPORT | 2014-04-02 |
| Amendment | 2013-04-03 |
| ANNUAL REPORT | 2013-01-19 |
| ANNUAL REPORT | 2012-03-19 |
| Amendment | 2011-09-08 |
| ANNUAL REPORT | 2011-02-24 |
| ANNUAL REPORT | 2010-03-31 |
| ANNUAL REPORT | 2009-03-26 |
| ANNUAL REPORT | 2009-03-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
