| Entity Name: | AMBULATORY SURGERY CENTER SUPPORT SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
AMBULATORY SURGERY CENTER SUPPORT SERVICES, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 14 Aug 1991 (34 years ago) |
| Document Number: | S74045 |
| FEI/EIN Number |
593087811
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 502 E. NEW HAVEN AVENUE, MELBOURNE, FL, 32901, US |
| Mail Address: | 502 E. NEW HAVEN AVENUE, MELBOURNE, FL, 32901, US |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902857642 | 2006-05-15 | 2008-05-22 | 502 E NEW HAVEN AVE, MELBOURNE, FL, 329015427, US | 719 E NEW HAVEN AVE, MELBOURNE, FL, 329015459, US | |||||||||||||||||||||||||||
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| Phone | +1 321-727-2020 |
| Fax | 3219849547 |
| Phone | +1 321-984-4405 |
Authorized person
| Name | DR. WILLIAM J BROUSSARD |
| Role | PRESIDENT |
| Phone | 3217272020 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| License Number | 19959 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 259253300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FREEMAN L. NMD | Director | 502 E. NEW HAVEN AVENUE, MELBOURNE, FL, 32901 |
| FREEMAN L. NMD | Treasurer | 502 E. NEW HAVEN AVENUE, MELBOURNE, FL, 32901 |
| PAYLOR RALPH RMD | Director | 502 E. NEW HAVEN AVENUE, MELBOURNE, FL, 32901 |
| PAYLOR RALPH RMD | President | 502 E. NEW HAVEN AVENUE, MELBOURNE, FL, 32901 |
| WEISER DAVID SMD | Director | 502 E. NEW HAVEN AVENUE, MELBOURNE, FL, 32901 |
| WEISER DAVID SMD | Secretary | 502 E. NEW HAVEN AVENUE, MELBOURNE, FL, 32901 |
| BARKER PATRICIA C | Agent | 502 E. NEW HAVEN AVENUE, MELBOURNE, FL, 32901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2019-04-19 | BARKER, PATRICIA C | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-19 | 502 E. NEW HAVEN AVENUE, MELBOURNE, FL 32901 | - |
| CHANGE OF MAILING ADDRESS | 2010-04-19 | 502 E. NEW HAVEN AVENUE, MELBOURNE, FL 32901 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2002-05-08 | 502 E. NEW HAVEN AVENUE, MELBOURNE, FL 32901 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-03-29 |
| ANNUAL REPORT | 2022-03-15 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-06-11 |
| ANNUAL REPORT | 2019-04-19 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
