0001615314-20-000004.txt : 20200629 0001615314-20-000004.hdr.sgml : 20200629 20200629155511 ACCESSION NUMBER: 0001615314-20-000004 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200629 DATE AS OF CHANGE: 20200629 EFFECTIVENESS DATE: 20200629 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-365001 FILM NUMBER: 20997406 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/A 1 primary_doc.xml X0708 D/A 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 Ronald C Brandenburg 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 true 0001615314-20-000002 2020-02-09 false true false 13000 474620 442000 32620 false 7 0 0 0 false Physicians Outpatient Surgery Center, LLC Mark R. Dissette Mark R. Dissette Senior Vice President and Administrator 2020-06-29