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SOURCE SURGICAL, INC.

Company Details

Entity Name: SOURCE SURGICAL, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Mar 2009 (16 years ago)
Document Number: P09000024734
FEI/EIN Number 264489888
Address: 644 CESERY BLVD., JACKSONVILLE, FL, 32211, US
Mail Address: 644 CESERY BLVD., JACKSONVILLE, FL, 32211, US
ZIP code: 32211
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538595301 2013-09-24 2020-01-22 644 CESERY BLVD STE 315, JACKSONVILLE, FL, 322117165, US 644 CESERY BLVD STE 315, JACKSONVILLE, FL, 322117165, US

Contacts

Phone +1 904-234-3980
Fax 9043745737

Authorized person

Name MR. JOEL N/A CREGUT
Role PRESIDENT
Phone 9042343980

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Agent

Name Role Address
CREGUT JOEL Agent 4059 COVE SAINT JOHNS RD, JACKSONVILLE, FL, 32277

Director

Name Role Address
CREGUT JOEL Director 644 CESERY BLVD., JACKSONVILLE, FL, 32211

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-08-27 644 CESERY BLVD., SUITE 315, JACKSONVILLE, FL 32211 No data
CHANGE OF MAILING ADDRESS 2018-08-27 644 CESERY BLVD., SUITE 315, JACKSONVILLE, FL 32211 No data

Documents

Name Date
ANNUAL REPORT 2024-04-14
ANNUAL REPORT 2023-03-07
ANNUAL REPORT 2022-04-05
ANNUAL REPORT 2021-03-01
ANNUAL REPORT 2020-04-08
ANNUAL REPORT 2019-04-05
ANNUAL REPORT 2018-03-31
ANNUAL REPORT 2017-03-17
ANNUAL REPORT 2016-03-28
ANNUAL REPORT 2015-04-24

Date of last update: 02 Feb 2025

Sources: Florida Department of State