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SURGICAL PRACTICE RESOURCE GROUP OF FLORIDA, INC.

Company Details

Entity Name: SURGICAL PRACTICE RESOURCE GROUP OF FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Active
Date Filed: 15 Apr 2015 (10 years ago)
Document Number: F15000001612
FEI/EIN Number 47-3716237
Address: 539 ROLLING ACRES RD, LADY LAKE, FL, 32159, US
Mail Address: 539 Rolling Acres Rd, Lady Lake, FL, 32159, US
ZIP code: 32159
County: Lake
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992162291 2016-01-19 2017-08-03 PO BOX 489, LADY LAKE, FL, 321580489, US 539 ROLLING ACRES RD, LADY LAKE, FL, 32159, US

Contacts

Phone +1 352-775-6348
Fax 3527756352

Authorized person

Name MR. STEVE ROTH
Role COO
Phone 3527756348

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes
Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
State FL
Is Primary No

Agent

Name Role
C T CORPORATION SYSTEM Agent

Officer

Name Role Address
Kerina Jeffrey Officer 539 Rolling Acres Rd, Lady Lake, FL, 32159

Othe

Name Role Address
Siccardi Francesco Othe 539 Rolling Acres Rd, Lady Lake, FL, 32159

othe

Name Role Address
McCoy Thomas othe 539 Rolling Acres Rd, Lady Lake, FL, 32159

OTHE

Name Role Address
URBAN PATRICIA OTHE 11714 110TH TERRACE N, SEMINOLE, FL, 33778

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000107731 UNOVA HIP & KNEE CENTER ACTIVE 2020-08-20 2025-12-31 No data PO BOX 489, LADY LAKE, FL, 32158
G20000107737 UNOVA ORTHO EXPRESS ACTIVE 2020-08-20 2025-12-31 No data PO BOX 489, LADY LAKE, FL, 32158
G17000002227 UNOVA HEALTH CLINIC EXPIRED 2017-01-06 2022-12-31 No data 363 FENNELL BOULEVARD, LADY LAKE, FL, 32159
G16000110690 UNOVA HEALTH ACTIVE 2016-10-11 2027-12-31 No data PO BOX 489, LADY LAKE, FL, 32158
G15000089228 SPR GROUP OF FLORIDA, INC. ACTIVE 2015-08-28 2025-12-31 No data PO BOX 489, LADY LAKE, FL, 32158

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-04-03 539 ROLLING ACRES RD, LADY LAKE, FL 32159 No data
REGISTERED AGENT NAME CHANGED 2022-04-21 C T CORPORATION SYSTEM No data
CHANGE OF PRINCIPAL ADDRESS 2018-04-11 539 ROLLING ACRES RD, LADY LAKE, FL 32159 No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J24000276426 TERMINATED 1000000991590 LAKE 2024-05-02 2034-05-08 $ 1,297.37 STATE OF FLORIDA, DEPARTMENT OF REVENUE, LEESBURG SERVICE CENTER, 900 N 14TH ST STE 201, LEESBURG FL347483829

Documents

Name Date
AMENDED ANNUAL REPORT 2024-12-11
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-04-19
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-04-27
ANNUAL REPORT 2020-07-20
ANNUAL REPORT 2019-05-02
AMENDED ANNUAL REPORT 2018-04-11
ANNUAL REPORT 2018-02-27
ANNUAL REPORT 2017-03-09

Date of last update: 01 Feb 2025

Sources: Florida Department of State