0001015325-20-000005.txt : 20200115 0001015325-20-000005.hdr.sgml : 20200115 20200115102842 ACCESSION NUMBER: 0001015325-20-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200115 DATE AS OF CHANGE: 20200115 EFFECTIVENESS DATE: 20200115 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Miami Children's Hospital Ambulatory Surgery Center, LLC CENTRAL INDEX KEY: 0001780258 IRS NUMBER: 463406805 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-358081 FILM NUMBER: 20527485 BUSINESS ADDRESS: STREET 1: 800 SW 108TH AVENUE, SUITE 200 CITY: MIAMI STATE: FL ZIP: 33174 BUSINESS PHONE: 305-228-7550 MAIL ADDRESS: STREET 1: 800 SW 108TH AVENUE, SUITE 200 CITY: MIAMI STATE: FL ZIP: 33174 D 1 primary_doc.xml X0708 D LIVE 0001780258 Miami Children's Hospital Ambulatory Surgery Center, LLC 800 SW 108TH AVENUE, SUITE 200 MIAMI FL FLORIDA 33174 305-228-7550 FLORIDA None None Limited Liability Company true Matthew A. Love c/o Miami Children's Hospital Ambulatory 800 SW 108th Ave., Suite 200 Miami FL FLORIDA 33174 Executive Officer Director Sandeep Dave, M.D. c/o Miami Children's Hospital Ambulatory 800 SW 108th Ave., Suite 200 Miami FL FLORIDA 33174 Director Andrew Labbie, M.D. c/o Miami Children's Hospital Ambulatory 800 SW 108th Ave., Suite 200 Miami FL FLORIDA 33174 Director Chad Perlyn, M.D., Ph.D. c/o Miami Children's Hospital Ambulatory 800 SW 108th Ave., Suite 200 Miami FL FLORIDA 33174 Director Craig Spurdle, M.D. c/o Miami Children's Hospital Ambulatory 800 SW 108th Ave., Suite 200 Miami FL FLORIDA 33174 Director Hospitals and Physicians Decline to Disclose 06b false 2020-01-01 false true false 30000 30000 30000 0 false 1 0 0 0 false Miami Children's Hospital Ambulatory Surgery Center, LLC /s/ Chad Perlyn Chad Perlyn Chairman of the Board and Medical Director 2020-01-15