0001615314-21-000001.txt : 20210325 0001615314-21-000001.hdr.sgml : 20210325 20210325122705 ACCESSION NUMBER: 0001615314-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210325 DATE AS OF CHANGE: 20210325 EFFECTIVENESS DATE: 20210325 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: 021-393503 FILM NUMBER: 21771281 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 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 Guillermo Davila 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 2021-02-26 false true false 13000 119287 119287 0 false 3 0 0 0 false Physicians Outpatient Surgery Center, LLC Mark R. Dissette Mark R. Dissette Senior Vice President and Administrator 2021-03-22