| Entity Name: | NTC SURGERY CENTER, LTD. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Limited Partnership |
| Status: | Inactive |
| Date Filed: | 12 Apr 2002 (23 years ago) |
| Date of dissolution: | 14 Sep 2007 (17 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (17 years ago) |
| Document Number: | A02000000555 |
| FEI/EIN Number | 331001084 |
| Address: | 10000 W. COLONIAL DRIVE, SUITE 288, OCOEE, FL, 34761 |
| Mail Address: | 10000 W. COLONIAL DRIVE, SUITE 288, OCOEE, FL, 34761 |
| ZIP code: | 34761 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649273848 | 2005-05-23 | 2020-08-22 | 1800 OAKLEY SEAVER BLVD, CLERMONT, FL, 347111916, US | 1800 OAKLEY SEAVER BLVD, CLERMONT, FL, 347111916, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-536-1703 |
| Fax | 3525369057 |
Authorized person
| Name | DR. JORGE LUIS FLORIN |
| Role | ADMINISTRATOR |
| Phone | 3525361703 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1206 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CITRUS HLTHCARE-PROV.# |
| Number | 106690-01 |
| State | FL |
| Issuer | BCBS PROVIDER NUMBER |
| Number | 6G3 |
| State | FL |
| Issuer | FIRST HEALTH -PROVIDER # |
| Number | 2020137 |
| State | FL |
| Issuer | AETNA HMO-PROVIDER # |
| Number | 3640949 |
| State | FL |
| Issuer | CCN NETWORK-PROVIDER # |
| Number | 5535681 |
| State | FL |
| Issuer | AETNA PPO-PROVIDER # |
| Number | 74780586 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FLORIN JORGE J | Agent | 10000 W. COLONIAL DRIVE, SUITE 288, OCOEE, FL, 34761 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2006-04-26 |
| ANNUAL REPORT | 2005-04-28 |
| ANNUAL REPORT | 2004-03-10 |
| ANNUAL REPORT | 2003-04-24 |
| Domestic LP | 2002-04-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
