0001392330-15-000004.txt : 20150819
0001392330-15-000004.hdr.sgml : 20150819
20150819133718
ACCESSION NUMBER: 0001392330-15-000004
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20150819
DATE AS OF CHANGE: 20150819
EFFECTIVENESS DATE: 20150819
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Surgery Center of Key West LLC
CENTRAL INDEX KEY: 0001392330
IRS NUMBER: 205854803
STATE OF INCORPORATION: FL
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-246079
FILM NUMBER: 151063547
BUSINESS ADDRESS:
STREET 1: 3136 NORTHSIDE DR 1
CITY: KEY WEST
STATE: FL
ZIP: 33040
BUSINESS PHONE: 305-293-1801
MAIL ADDRESS:
STREET 1: 3136 NORTHSIDE DR 1
CITY: KEY WEST
STATE: FL
ZIP: 33040
D
1
primary_doc.xml
X0707
D
LIVE
0001392330
Surgery Center of Key West LLC
3136 NORTHSIDE DR 1
KEY WEST
FL
FLORIDA
33040
305-293-1801
FLORIDA
None
None
Limited Liability Company
true
Michael
Jones, M.D.
3136 Northside Drive
Suite 1
Key West
FL
FLORIDA
33040
Executive Officer
Director
Donald
Harell, M.D.
3136 Northside Drive
Suite 1
Key West
FL
FLORIDA
33040
Executive Officer
Director
Juan
Larrauri, M.D.
3136 Northside Drive
Suite 1
Key West
FL
FLORIDA
33040
Executive Officer
Director
Paul
Maurer, M.D.
3136 Northside Drive
Suite 1
Key West
FL
FLORIDA
33040
Executive Officer
Director
Rhoda
Smith, M.D.
3136 Northside Drive
Suite 1
Key West
FL
FLORIDA
33040
Executive Officer
Director
Andrew
Wolszczak, M.D.
3136 Northside Drive
Suite 1
Key West
FL
FLORIDA
33040
Director
Michael
Klitenick, M.D.
3136 Northside Drive
Suite 1
Key West
FL
FLORIDA
33040
Director
Edward
Gonzalez-Blanco, M.D.
3136 Northside Drive
Suite 1
Key West
FL
FLORIDA
33040
Director
William
Schnapp, M.D.
3136 Northside Drive
Suite 1
Key West
FL
FLORIDA
33040
Director
N/A
MRE Gonzalez-Blanco Family, LLP
3136 Northside Drive
Suite 1
Key West
FL
FLORIDA
33040
Executive Officer
Director
dba Ambulatory Surgical Centers of America
Cataract and Laser Center Partners, L.L.C.
3136 Northside Drive
Suite 1
Key West
FL
FLORIDA
33040
Executive Officer
Director
Other Health Care
Decline to Disclose
- 06b
false
2015-07-07
false
true
false
0
205480
205480
0
false
2
0
0
0
false
Surgery Center of Key West LLC
/s/ Rhoda Smith, M.D.
Rhoda Smith, M.D.
Member
2015-08-18