| Entity Name: | ADVANCED SURGICAL EVOLUTIONS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 04 Jan 2013 (12 years ago) |
| Document Number: | P13000001167 |
| FEI/EIN Number | 46-1683308 |
| Address: | 1141 Palm Blvd, Dunedin, FL 34698 |
| Mail Address: | PO Box 1142, Dunedin, FL 34697 |
| ZIP code: | 34698 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780923110 | 2013-02-05 | 2024-05-21 | PO BOX 1142, DUNEDIN, FL, 346971142, US | 1141 PALM BLVD, DUNEDIN, FL, 346982237, US | |||||||||||||||||||||
|
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| Phone | +1 727-204-7315 |
Authorized person
| Name | MR. GARY W SLATER III |
| Role | CERTIFIED SURGICAL FIRST ASSIST |
| Phone | 7272047315 |
Taxonomy
| Taxonomy Code | 246ZC0007X - Surgical Assistant |
| License Number | 129713 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Slater, Gary | Agent | 1141 Palm Blvd, Dunedin, FL 34698 |
| Name | Role | Address |
|---|---|---|
| Slater, Gary WIII | President | 1141 Palm Blvd, Dunedin, FL 34698 |
| Name | Role | Address |
|---|---|---|
| Slater, Gary WIII | Director | 1141 Palm Blvd, Dunedin, FL 34698 |
| Name | Role | Address |
|---|---|---|
| Slater, Gary WIII | Treasurer | 1141 Palm Blvd, Dunedin, FL 34698 |
| Name | Role | Address |
|---|---|---|
| Slater, Gary WIII | Secretary | 1141 Palm Blvd, Dunedin, FL 34698 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-02-11 | 1141 Palm Blvd, Dunedin, FL 34698 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2025-02-11 | 1141 Palm Blvd, Dunedin, FL 34698 | No data |
| CHANGE OF MAILING ADDRESS | 2025-02-11 | 1141 Palm Blvd, Dunedin, FL 34698 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-14 | 1820 Shirley Ct, Dunedin, FL 34698 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-14 | 1820 Shirley Ct, Dunedin, FL 34698 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-14 | 1820 Shirley Ct, Dunedin, FL 34698 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-02-11 | Slater, Gary | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-11 |
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-02-29 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
