0001615314-19-000001.txt : 20190131 0001615314-19-000001.hdr.sgml : 20190131 20190130184207 ACCESSION NUMBER: 0001615314-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190131 DATE AS OF CHANGE: 20190130 EFFECTIVENESS DATE: 20190131 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: 021-331802 FILM NUMBER: 19553228 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 954 958 0606 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 true false true false 29000 1493769 0 1493769 false 0 0 0 0 false Physicians Outpatient Surgery Center, LLC Mark R. Dissette Mark R. Dissette Senior Vice President and Administrator 2019-01-23