| Entity Name: | SURGICARE OF CENTRAL FLORIDA, LTD. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Limited Partnership |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 31 Aug 1994 (31 years ago) |
| Date of dissolution: | 07 Dec 2021 (3 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 07 Dec 2021 (3 years ago) |
| Document Number: | A94000001186 |
| FEI/EIN Number |
752556633
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 900 GRIFFIN ROAD, LAKELAND, FL, 33804, US |
| Mail Address: | 900 GRIFFIN ROAD, LAKELAND, FL, 33804, US |
| ZIP code: | 33804 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952364002 | 2006-04-10 | 2014-04-08 | 900 GRIFFIN RD, LAKELAND, FL, 338052442, US | 900 GRIFFIN RD, LAKELAND, FL, 338052442, US | |||||||||||||||||||||||||
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| Phone | +1 863-686-3344 |
| Fax | 8636861711 |
Authorized person
| Name | JANET TOWNSEND |
| Role | ADMINISTRATOR |
| Phone | 8636863344 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 856 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 079143100 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTRAL FLORIDA SURGICENTER RETIREMENT PLAN | 2012 | 752556633 | 2013-02-28 | SURGICARE OF CENTRAL FLORIDA, LTD | 28 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 752556633 |
| Plan administrator’s name | SURGICARE OF CENTRAL FLORIDA, LTD |
| Plan administrator’s address | 900 GRIFFIN RD, LAKELAND, FL, 33805 |
| Administrator’s telephone number | 8636863344 |
Signature of
| Role | Plan administrator |
| Date | 2013-02-28 |
| Name of individual signing | KEVIN A. DORSETT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8636863344 |
| Plan sponsor’s address | 900 GRIFFIN RD, LAKELAND, FL, 33805 |
Plan administrator’s name and address
| Administrator’s EIN | 752556633 |
| Plan administrator’s name | SURGICARE OF CENTRAL FLORIDA, LTD |
| Plan administrator’s address | 900 GRIFFIN RD, LAKELAND, FL, 33805 |
| Administrator’s telephone number | 8636863344 |
Signature of
| Role | Plan administrator |
| Date | 2012-06-14 |
| Name of individual signing | KEVIN A. DORSETT |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| DORSETT KEVIN A | Agent | 1247 LAKELAND HILLS BLVD, LAKELAND, FL, 33805 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000067769 | CENTRAL FLORIDA SURGICENTER | EXPIRED | 2014-06-30 | 2024-12-31 | - | 900 GRIFFIN RD, LAKELAND, FL, 33805 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2021-12-07 | - | CONVERSION MEMBER. RESULTING CORPORATION WAS L22000001694. CONVERSION NUMBER 900000222109 |
| CHANGE OF MAILING ADDRESS | 2011-06-14 | 900 GRIFFIN ROAD, LAKELAND, FL 33804 | - |
| LP AMENDMENT | 2010-08-20 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-08-20 | 900 GRIFFIN ROAD, LAKELAND, FL 33804 | - |
| REGISTERED AGENT NAME CHANGED | 2010-08-20 | DORSETT, KEVIN A | - |
| REGISTERED AGENT ADDRESS CHANGED | 2010-08-20 | 1247 LAKELAND HILLS BLVD, LAKELAND, FL 33805 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-02-26 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-01-21 |
| ANNUAL REPORT | 2014-01-08 |
| ANNUAL REPORT | 2013-01-28 |
| ANNUAL REPORT | 2012-02-07 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9271768510 | 2021-03-12 | 0455 | PPS | 900 Griffin Rd, Lakeland, FL, 33805-2442 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2258667109 | 2020-04-10 | 0455 | PPP | 900 Griffin Rd, Lakeland, FL, 33805 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Mar 2025
Sources: Florida Department of State
