| Entity Name: | INDEPENDENT SURGICAL ASSIST INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 09 Jan 2013 (12 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P13000002927 |
| Address: | 1451 HOHE LN, ORMOND BEACH, FL 32174 |
| Mail Address: | 1451 HOHE LN, ORMOND BEACH, FL 32174 |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821336413 | 2013-01-17 | 2013-01-17 | 1451 HOHE LN, ORMOND BEACH, FL, 321749330, US | 1451 HOHE LN, ORMOND BEACH, FL, 321749330, US | |||||||||||||||||
|
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| Phone | +1 608-438-0551 |
Authorized person
| Name | LORRIE KENSETH |
| Role | OWNER |
| Phone | 16084380551 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| License Number | ARNP9341144 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KENSETH, LORRIE M | Agent | 1451 HOHE LN, ORMOND BEACH, FL 32174 |
| Name | Role | Address |
|---|---|---|
| KENSETH, LORRIE M | President | 1451 HOHE LN, ORMOND BEACH, FL 32174 |
| Name | Role | Address |
|---|---|---|
| KENSETH, LORRIE M | Secretary | 1451 HOHE LN, ORMOND BEACH, FL 32174 |
| Name | Role | Address |
|---|---|---|
| KENSETH, ROY E | Vice President | 1451 HOHE LN, ORMOND BEACH, FL 32174 |
| Name | Role | Address |
|---|---|---|
| KENSETH, ROY E | Treasurer | 1451 HOHE LN, ORMOND BEACH, FL 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2013-01-09 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
