| Entity Name: | AMERICAN PLASTIC SURGERY CENTER, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 13 Sep 2024 (5 months ago) |
| Document Number: | P24000058866 |
| Address: | 1995 EAST OAKLAND PARK BLVD, SUITE 305, FORT LAUDERDALE, FL 33306 |
| Mail Address: | 1900 WEST OAKLAND PARK BLVD, UNIT 9961, FORT LAUDERDALE, FL 33310 |
| ZIP code: | 33306 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275350423 | 2024-09-20 | 2024-09-20 | 1900 W OAKLAND PARK BLVD UNIT 9961, OAKLAND PARK, FL, 333100537, US | 1995 E OAKLAND PARK BLVD STE 305, FORT LAUDERDALE, FL, 333061138, US | |||||||||||||||||||
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| Phone | +1 954-640-3556 |
| Fax | 8774685361 |
Authorized person
| Name | JOSUE LAROSE |
| Role | PRESIDENT |
| Phone | 9545959121 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LAROSE, JOSUE | Agent | 16000 PINES BLVD, UNIT 0663, PEMBROKE PINES, FL FL |
| Name | Role | Address |
|---|---|---|
| LAROSE, JOSUE | President | 16000 PINES BLVD. UNIT 0663, PEMBROKE PINES, FL 33082 |
| Name | Role | Address |
|---|---|---|
| LAROSE, JOSUE | Chief Executive Officer | 1900 WEST OAKLAND PARK BLVD. SUITE 9961, FORT LAUDERDALE, FL 33310 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-09-13 |
Date of last update: 07 Feb 2025
Sources: Florida Department of State
