Entity Name: | THE SURGICAL CENTER FOR EXCELLENCE LLLP |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Partnership |
Status: | Active |
Date Filed: | 29 Oct 2003 (21 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 31 Oct 2018 (6 years ago) |
Document Number: | A03000001536 |
FEI/EIN Number | 74-3107832 |
Address: | 202 DOCTORS DR., PANAMA CITY, FL 32405 |
Mail Address: | 200 DOCTORS DR., PANAMA CITY, FL 32405 |
ZIP code: | 32405 |
County: | Bay |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1174503080 | 2006-01-18 | 2009-08-04 | 202 DOCTORS DR, PANAMA CITY, FL, 324054454, US | 202 DOCTORS DR, PANAMA CITY, FL, 324054454, US | |||||||||||||||||||||||||||||||
|
Phone | +1 850-522-1930 |
Fax | 8505221940 |
Authorized person
Name | DR. DANIEL DAUBE |
Role | BOARD CHAIRMAN |
Phone | 8505221930 |
Taxonomy
Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
License Number | 1222 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 075971600 |
State | FL |
Issuer | BLUE CROSS |
Number | 6K5 |
State | FL |
CIK number | Mailing Address | Business Address | Phone | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
1401993 | 200 Doctors Dr, Panama City, FL, 32405 | 200 Doctors Dr, Panama City, FL, 32405 | 850-522-1930 | |||||||||
|
Form type | REGDEX/A |
File number | 021-104012 |
Filing date | 2007-05-31 |
File | View File |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
SURGICAL CENTER FOR EXCELLENCE 401(K) PLAN | 2023 | 743107832 | 2024-07-29 | SURGICAL CENTER FOR EXCELLENCE, LLLP | 19 | |||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2024-07-29 |
Name of individual signing | AMANDA BROWN |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2013-10-01 |
Business code | 621111 |
Sponsor’s telephone number | 8508968799 |
Plan sponsor’s address | 202 DOCTORS DRIVE, PANAMA CITY, FL, 32405 |
Signature of
Role | Plan administrator |
Date | 2023-10-10 |
Name of individual signing | AMANDA BROWN |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2013-10-01 |
Business code | 621111 |
Sponsor’s telephone number | 8508968799 |
Plan sponsor’s address | 202 DOCTORS DRIVE, PANAMA CITY, FL, 32405 |
Signature of
Role | Plan administrator |
Date | 2022-10-06 |
Name of individual signing | AMANDA BROWN |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2013-10-01 |
Business code | 621111 |
Sponsor’s telephone number | 8508968799 |
Plan sponsor’s address | 202 DOCTORS DRIVE, PANAMA CITY, FL, 32405 |
Signature of
Role | Plan administrator |
Date | 2021-10-14 |
Name of individual signing | AMANDA BROWN |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2013-10-01 |
Business code | 621111 |
Sponsor’s telephone number | 8508968799 |
Plan sponsor’s address | 202 DOCTORS DRIVE, PANAMA CITY, FL, 32405 |
Signature of
Role | Plan administrator |
Date | 2020-09-29 |
Name of individual signing | AMANDA BROWN |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2013-10-01 |
Business code | 621111 |
Sponsor’s telephone number | 8505221930 |
Plan sponsor’s address | 202 DOCTORS DRIVE, PANAMA CITY, FL, 32405 |
Signature of
Role | Plan administrator |
Date | 2019-10-08 |
Name of individual signing | MICHELLE KELLEY |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2013-10-01 |
Business code | 621111 |
Sponsor’s telephone number | 8505221930 |
Plan sponsor’s address | 202 DOCTORS DRIVE, PANAMA CITY, FL, 32405 |
Signature of
Role | Plan administrator |
Date | 2018-08-09 |
Name of individual signing | MICHELLE KELLEY |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2013-10-01 |
Business code | 621111 |
Sponsor’s telephone number | 8505221930 |
Plan sponsor’s address | 202 DOCTORS DRIVE, PANAMA CITY, FL, 32405 |
Signature of
Role | Plan administrator |
Date | 2018-01-26 |
Name of individual signing | MICHELLE KELLEY |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2013-10-01 |
Business code | 621111 |
Sponsor’s telephone number | 8505221930 |
Plan sponsor’s address | 202 DOCTORS DRIVE, PANAMA CITY, FL, 32405 |
Signature of
Role | Plan administrator |
Date | 2016-10-10 |
Name of individual signing | CHRISTINE KELLEY |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2013-10-01 |
Business code | 621111 |
Sponsor’s telephone number | 8505221930 |
Plan sponsor’s address | 202 DOCTORS DRIVE, PANAMA CITY, FL, 32405 |
Signature of
Role | Plan administrator |
Date | 2015-07-08 |
Name of individual signing | CHRISTINE KELLEY |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role |
---|---|
GULF COAST SURGICAL MANAGEMENT, INC. | Agent |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G20000063193 | SURGICAL CENTER FOR EXCELLENC, LLLP | ACTIVE | 2020-06-05 | 2025-12-31 | No data | 202 DOCTORS DRIVE, PANAMA CITY, FL, 32405 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2018-10-31 | 200 DOCTORS DRIVE, PANAMA CITY, FL 32405 | No data |
REINSTATEMENT | 2018-10-31 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2018-10-31 | 202 DOCTORS DR., PANAMA CITY, FL 32405 | No data |
CHANGE OF MAILING ADDRESS | 2018-10-31 | 202 DOCTORS DR., PANAMA CITY, FL 32405 | No data |
REVOKED FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2014-03-19 | GULF COAST SURGICAL MANAGEMENT, INC. | No data |
REINSTATEMENT | 2010-12-13 | No data | No data |
REVOKED FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
LLLP Statement of Qualification | 2003-10-29 | THE SURGICAL CENTER FOR EXCELLENCE LLLP | No data |
Title | Case Number | Docket Date | Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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The Surgical Center for Excellence, LLLP, Appellant(s) v. Michael D. Gilmore, MD, Gator Safety, LLC, Gulf Coast Surgical Management, Inc., Daniel C. Daube, Jr., MD, Andrew D. McAllister, DO, and Amanda Brown, CRNA, Appellee(s). | 1D2024-2285 | 2024-09-07 | Closed | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Name | Daniel C. Daube, Jr. |
Role | Appellee |
Status | Active |
Name | THE SURGICAL CENTER FOR EXCELLENCE LLLP |
Role | Appellant |
Status | Active |
Representations | Erik Hawks, Stephen Alexander Ecenia |
Name | Michael D. Gilmore, MD |
Role | Appellee |
Status | Active |
Representations | Mark Stephen Thomas, Gillis Edward Powell, Jr. |
Name | GATOR SAFETY, LLC |
Role | Appellee |
Status | Active |
Representations | Mark Stephen Thomas, Gillis Edward Powell, Jr. |
Name | GULF COAST SURGICAL MANAGEMENT, INC. |
Role | Appellee |
Status | Active |
Name | Andrew D. McAllister, DO |
Role | Appellee |
Status | Active |
Name | Amanda Brown, CRNA |
Role | Appellee |
Status | Active |
Name | Bay Clerk |
Role | Lower Tribunal Clerk |
Status | Active |
Name | Hon. Elijah Smiley |
Role | Judge/Judicial Officer |
Status | Active |
Docket Entries
Docket Date | 2024-10-23 |
Type | Response |
Subtype | Response |
Description | Response to Appellant's Response to Show Cause Order (10/10) |
On Behalf Of | Michael D. Gilmore, MD |
Docket Date | 2024-10-21 |
Type | Response |
Subtype | Response |
Description | Response to show cause order |
On Behalf Of | The Surgical Center for Excellence, LLLP |
Docket Date | 2024-10-10 |
Type | Order |
Subtype | Order to Show Cause |
Description | Order to Show Cause |
View | View File |
Docket Date | 2024-09-20 |
Type | Response |
Subtype | Response |
Description | Response to Motion for Extension of Time to File Initial Brief |
On Behalf Of | Michael D. Gilmore, MD |
Docket Date | 2024-09-20 |
Type | Motions Extensions |
Subtype | Motion for Extension of Time to Serve Initial Brief |
Description | Motion for Extension of Time to Serve Initial Brief and Appendeix |
On Behalf Of | The Surgical Center for Excellence, LLLP |
Docket Date | 2024-09-18 |
Type | Misc. Events |
Subtype | Docketing Statement |
Description | Docketing Statement |
On Behalf Of | The Surgical Center for Excellence, LLLP |
Docket Date | 2024-09-16 |
Type | Event |
Subtype | Fee Paid in Full |
Description | Fee Paid in Full |
View | View File |
Docket Date | 2024-09-10 |
Type | Letter |
Subtype | Acknowledgment Letter |
Description | Acknowledgment Letter |
View | View File |
Docket Date | 2024-09-07 |
Type | Notice |
Subtype | Notice of Appeal |
Description | Notice of Appeal, order attached |
On Behalf Of | The Surgical Center for Excellence, LLLP |
Docket Date | 2025-01-02 |
Type | Misc. Events |
Subtype | West Publishing |
Description | West Publishing |
Docket Date | 2025-01-02 |
Type | Mandate |
Subtype | Mandate |
Description | Mandate |
View | View File |
Docket Date | 2024-12-13 |
Type | Disposition by Opinion |
Subtype | Dismissed |
Description | Dismissed |
View | View File |
Docket Date | 2024-10-02 |
Type | Order |
Subtype | Order on Motion for Extension of Time to Serve Initial Brief |
Description | Order on Motion for Extension of Time to Serve Initial Brief |
View | View File |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-30 |
ANNUAL REPORT | 2023-01-10 |
ANNUAL REPORT | 2022-01-17 |
ANNUAL REPORT | 2021-01-13 |
ANNUAL REPORT | 2020-01-13 |
ANNUAL REPORT | 2019-04-03 |
REINSTATEMENT | 2018-10-31 |
ANNUAL REPORT | 2017-01-06 |
ANNUAL REPORT | 2016-01-22 |
ANNUAL REPORT | 2015-01-12 |
Date of last update: 05 Jan 2025
Sources: Florida Department of State