| Entity Name: | ATLANTIC SURGICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 16 Mar 1992 (33 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | V22035 |
| FEI/EIN Number | 65-0326711 |
| Address: | 150 SW 12TH AVE, STE 450, POMPANO BEACH, FL 33069 |
| Mail Address: | 150 SW 12TH AVE, STE 450, POMPANO BEACH, FL 33069 |
| ZIP code: | 33069 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215924899 | 2005-09-29 | 2010-01-22 | 150 SW 12TH AVE, SUITE 450, POMPANO BEACH, FL, 330693298, US | 150 SW 12TH AVE, SUITE 201, POMPANO BEACH, FL, 330693298, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 954-946-3603 |
| Fax | 9547812144 |
Authorized person
| Name | MR. JOHN W. BEEBE |
| Role | CEO |
| Phone | 9549463603 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1015 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0705969-00 |
| State | FL |
| Issuer | US DEPT OF LABOR |
| Number | 169570900 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 64X |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BALLINGER, STEVEN R, ESQ | Agent | 1792 BELL TOWER LANE, WESTON, FL 33326 |
| Name | Role | Address |
|---|---|---|
| BYERS, ANDREW | Director | 150 SW 12TH AVE #450, POMPANO BCH, FL 33069 |
| Name | Role |
|---|---|
| DBEK MANAGEMENT, LLC | President |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000109981 | BROWARD SAME DAY SURGICAL CENTER | EXPIRED | 2009-05-22 | 2014-12-31 | No data | 150 SW 12TH AVE, SUITE 450, POMPANO BEACH, FL, 33069 |
| G08086900298 | UNIVERSAL SAME DAY SURGICAL CENTER | EXPIRED | 2008-03-26 | 2013-12-31 | No data | 150 SW 12TH AVE., SUITE 450, POMPANO BEACH, FL, 33069 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-03-26 | 150 SW 12TH AVE, STE 450, POMPANO BEACH, FL 33069 | No data |
| CHANGE OF MAILING ADDRESS | 2008-03-26 | 150 SW 12TH AVE, STE 450, POMPANO BEACH, FL 33069 | No data |
| NAME CHANGE AMENDMENT | 1997-09-15 | ATLANTIC SURGICAL CENTER, INC. | No data |
| AMENDMENT | 1996-10-23 | No data | No data |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2013-09-27 |
| ANNUAL REPORT | 2009-01-21 |
| ANNUAL REPORT | 2008-03-26 |
| ANNUAL REPORT | 2007-04-10 |
| ANNUAL REPORT | 2006-05-15 |
| ANNUAL REPORT | 2006-05-11 |
| ANNUAL REPORT | 2005-04-07 |
| ANNUAL REPORT | 2004-04-20 |
| ANNUAL REPORT | 2003-04-28 |
| ANNUAL REPORT | 2002-04-29 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
