0001615314-18-000004.txt : 20180615 0001615314-18-000004.hdr.sgml : 20180615 20180614185902 ACCESSION NUMBER: 0001615314-18-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180615 DATE AS OF CHANGE: 20180614 EFFECTIVENESS DATE: 20180615 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Physicians Outpatient Surgery Center, LLC CENTRAL INDEX KEY: 0001615314 IRS NUMBER: 352325646 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-314666 FILM NUMBER: 18900408 BUSINESS ADDRESS: STREET 1: 1000 N.E. 56TH STREET CITY: OAKLAND PARK STATE: FL ZIP: 33334 BUSINESS PHONE: 954 958 0606 MAIL ADDRESS: STREET 1: 1000 N.E. 56TH STREET CITY: OAKLAND PARK STATE: FL ZIP: 33334 D 1 primary_doc.xml X0708 D LIVE 0001615314 Physicians Outpatient Surgery Center, LLC 1000 N.E. 56TH STREET OAKLAND PARK FL FLORIDA 33334 954-229-8672 FLORIDA None None Limited Liability Company true Mark R Dissette 1000 NE 56th Street Oakland Park FL FLORIDA 33334 Director Todd Radosevich 1000 NE 56th Street Oakland Park FL FLORIDA 33334 Director Kenneth Homer 1000 NE 56th Street Oakland Park FL FLORIDA 33334 Director Iley C Neely 1000 NE 56th Street Oakland Park FL FLORIDA 33334 Director James E Lang 1000 NE 56th Street Oakland Park FL FLORIDA 33334 Director Jonathan C Levy 1000 NE 56th Street Oakland Park FL FLORIDA 33334 Director Other Health Care Decline to Disclose 06b false 2018-06-05 false true false 19500 390000 78000 312000 false 1 0 0 0 false Physicians Outpatient Surgery Center, LLC Mark R. Dissette Mark R. Dissette Senior Vice President and Administrator 2018-06-14