| Entity Name: | ADVANCED SURGICAL & PHYSICIAN ASSISTANT SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 Apr 2022 (3 years ago) |
| Document Number: | P22000028808 |
| FEI/EIN Number | 88-1796048 |
| Address: | 3491 Titannic Circle, INDIALANTIC, FL 32903 |
| Mail Address: | PO Box 410185, Melbourne, FL 32941 |
| ZIP code: | 32903 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053043059 | 2022-06-28 | 2022-06-28 | PO BOX 410185, MELBOURNE, FL, 329410185, US | 461 MALLARD LN, INDIALANTIC, FL, 329034735, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 407-451-0192 |
| Fax | 3216004004 |
Authorized person
| Name | DALE P GREYSLAK |
| Role | OWNER |
| Phone | 4074510192 |
Taxonomy
| Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GREYSLAK, DALE P | Agent | 3491 Titannic Circle, INDIALANTIC, FL 32903 |
| Name | Role | Address |
|---|---|---|
| GREYSLAK, DALE P | Director | 3491 Titanic Circle, INDIALANTIC, FL 32903 |
| Name | Role | Address |
|---|---|---|
| GREYSLAK, DALE P | President | 3491 Titanic Circle, INDIALANTIC, FL 32903 |
| Name | Role | Address |
|---|---|---|
| GREYSLAK, DALE P | Treasurer | 3491 Titanic Circle, INDIALANTIC, FL 32903 |
| Name | Role | Address |
|---|---|---|
| GREYSLAK, DALE P | Secretary | 3491 Titanic Circle, INDIALANTIC, FL 32903 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000014192 | ADVANCED NURSING SERVICES | ACTIVE | 2023-01-30 | 2028-12-31 | No data | PO BOX 410185, MELBOURNE, FL, 32941 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-24 | 3491 Titannic Circle, INDIALANTIC, FL 32903 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-24 | 3491 Titannic Circle, INDIALANTIC, FL 32903 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-24 | 3491 Titannic Circle, INDIALANTIC, FL 32903 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-01-24 |
| Domestic Profit | 2022-04-17 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
