0001015325-19-000018.txt : 20190716
0001015325-19-000018.hdr.sgml : 20190716
20190716093859
ACCESSION NUMBER: 0001015325-19-000018
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20190716
DATE AS OF CHANGE: 20190716
EFFECTIVENESS DATE: 20190716
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: 021-344384
FILM NUMBER: 19956307
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 Avenue, Suite 200
Miami
FL
FLORIDA
33174
Executive Officer
Director
Sandeep
Dave
c/o Miami Children's Hospital Ambulatory
800 SW 108th Avenue, Suite 200
Miami
FL
FLORIDA
33174
Director
Andrew
Labbie
c/o Miami Children's Hospital Ambulatory
800 SW 108th Avenue, Suite 200
Miami
FL
FLORIDA
33174
Director
Chad
Perlyn
c/o Miami Children's Hospital Ambulatory
800 SW 108th Avenue, Suite 200
Miami
FL
FLORIDA
33174
Director
Craig
Spurdle
c/o Miami Children's Hospital Ambulatory
800 SW 108th Avenue, Suite 200
Miami
FL
FLORIDA
33174
Director
Michael
A
Minor
c/o Miami Children's Hospital Ambulatory
800 SW 108th Avenue, Suite 200
Miami
FL
FLORIDA
33174
Executive Officer
Hospitals and Physicians
Decline to Disclose
- 06b
false
2019-07-15
false
true
false
30000
90000
90000
0
false
3
0
0
0
false
Miami Children's Hospital Ambulatory Surgery Center, LLC
/s/ Chad Perlyn
Chad Perlyn
Chairman of the Board and Medical Director
2019-07-15