CHILDREN'S SURGICAL ASSOCIATES CORP.

Company Details

Entity Name:	CHILDREN'S SURGICAL ASSOCIATES CORP.
Jurisdiction:	FLORIDA
Filing Type:	Foreign Not For Profit Corporation
Status:	Active
Date Filed:	24 Aug 2021 (3 years ago)
Document Number:	F21000004910
FEI/EIN Number	31-1654000
Address:	700 CHILDREN'S DRIVE, COLUMBUS, OH 43205
Mail Address:	700 CHILDREN'S DRIVE, COLUMBUS, OH 43205
Place of Formation:	OHIO

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1568415115

2006-05-17

2011-10-04

1814 LUCERNE TER, SUITE A, ORLANDO, FL, 328062949, US

1814 LUCERNE TER, SUITE A, ORLANDO, FL, 328062949, US

Contacts

Phone	+1 407-540-1000
Fax	4075401011

Authorized person

Name	DR. ROSS MORGAN
Role	PRESIDENT
Phone	4075401000

Taxonomy

Taxonomy Code	2086S0120X - Pediatric Surgery Physician
Is Primary	Yes

Other Provider Identifiers

Issuer	BCBS FL
Number	77784
State	FL

Agent

Name	Role	Address
SICKLES, ROBERT E, ESQ.	Agent	201 NORTH FRANKLIN ST, SUITE 3050, TAMPA, FL 33602

President

Name	Role	Address
MILLER, RICK	President	700 CHILDREN'S DRIVE, COLUMBUS, OH 43205

Director

Name	Role	Address
MILLER, RICK	Director	700 CHILDREN'S DRIVE, COLUMBUS, OH 43205
WEICHOLD, NELSON	Director	700 CHILDREN'S DRIVE, COLUMBUS, OH 43205
OLUTOYE, OLUYINKA	Director	700 CHILDREN'S DRIVE, COLUMBUS, OH 43205
ROBINSON, TIMOTHY	Director	700 CHILDREN'S DRIVE, COLUMBUS, OH 43205
MORSE, RUSTIN	Director	700 CHILDREN'S DRIVE, COLUMBUS, OH 43205

Treasurer

Name	Role	Address
WEICHOLD, NELSON	Treasurer	700 CHILDREN'S DRIVE, COLUMBUS, OH 43205

Secretary

Name	Role	Address
COMER, RHONDA	Secretary	700 CHILDREN'S DRIVE, COLUMBUS, OH 43205

ASST. SEC.

Name	Role	Address
LENOBEL, ANDREW	ASST. SEC.	700 CHILDREN'S DRIVE, COLUMBUS, OH 43205

Documents

Name	Date
ANNUAL REPORT	2024-04-17
ANNUAL REPORT	2023-04-21
ANNUAL REPORT	2022-04-18
Foreign Non-Profit	2021-08-24

Date of last update: 13 Jan 2025

Sources: Florida Department of State