| Entity Name: | COMPLETE SURGICAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 20 Oct 2009 (15 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P09000086488 |
| FEI/EIN Number | 27-1155408 |
| Address: | 10473 NW 6 STREET, PEMBROKE PINES, FL 33026 |
| Mail Address: | 10473 NW 6 STREET, PEMBROKE PINES, FL 33026 |
| ZIP code: | 33026 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467753863 | 2010-11-16 | 2010-11-16 | 261 W 32ND ST, HIALEAH, FL, 330125317, US | 261 W 32ND ST, HIALEAH, FL, 330125317, US | |||||||||||||||||||||||||
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| Phone | +1 305-528-0447 |
| Fax | 3054636693 |
Authorized person
| Name | LIDICE B LOPEZ |
| Role | PRESIDENT |
| Phone | 3055280447 |
Taxonomy
| Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
| License Number | PA 9104530 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC BS FL |
| Number | Y00XD |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LOPEZ, LIDICE B | Agent | 10473 NW 6 STREET, PEMBROKE PINES, FL 33026 |
| Name | Role | Address |
|---|---|---|
| LOPEZ, LIDICE B | President | 10473 NW 6 STREET, PEMBROKE PINES, FL 33026 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-30 | 10473 NW 6 STREET, PEMBROKE PINES, FL 33026 | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-30 | 10473 NW 6 STREET, PEMBROKE PINES, FL 33026 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-30 | 10473 NW 6 STREET, PEMBROKE PINES, FL 33026 | No data |
| REINSTATEMENT | 2011-02-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-03-28 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-04-06 |
| REINSTATEMENT | 2011-02-17 |
| Domestic Profit | 2009-10-20 |
Date of last update: 24 Feb 2025
Sources: Florida Department of State
