| Entity Name: | INDIAN RIVER SURGICAL SERVICE, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Apr 2006 (19 years ago) |
| Document Number: | P06000050388 |
| FEI/EIN Number | 571233821 |
| Address: | 1355 20th Avenue, VERO BEACH, FL, 32960, US |
| Mail Address: | 1355 20th Avenue, VERO BEACH, FL, 32960, US |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467400291 | 2006-05-04 | 2021-05-13 | 1355 20TH AVE, VERO BEACH, FL, 329603784, US | 1355 20TH AVE, VERO BEACH, FL, 329603784, US | |||||||||||||||||||||||||
|
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| Phone | +1 772-480-1122 |
Authorized person
| Name | JOHN ALFRED LAMBERT |
| Role | PRESIDENT |
| Phone | 7724801122 |
Taxonomy
| Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RR MEDICARE |
| Number | DE7995 |
| State | FL |
| Issuer | BLUE CROSS |
| Number | X1623 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LAMBERT JOHN A | Agent | 1355 20TH AVENUE, VERO BEACH, FL, 32960 |
| Name | Role | Address |
|---|---|---|
| LAMBERT JOHN A | President | 1355 20TH AVENUE, VERO BEACH, FL, 32960 |
| Name | Role | Address |
|---|---|---|
| LAMBERT LINDA D | Secretary | 1355 20TH AVENUE, VERO BEACH, FL, 32960 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-17 | 1355 20th Avenue, VERO BEACH, FL 32960 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-17 | 1355 20th Avenue, VERO BEACH, FL 32960 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-17 | 1355 20TH AVENUE, VERO BEACH, FL 32960 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-02-17 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-17 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-02-02 |
| ANNUAL REPORT | 2015-01-13 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
