| Entity Name: | KEY WEST SURGICAL GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
KEY WEST SURGICAL GROUP, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 01 Aug 1982 (43 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 20 Jun 2024 (10 months ago) |
| Document Number: | F91934 |
| FEI/EIN Number |
592206188
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | C/O JUAN M. LARRAURI, 3136 NORTHSIDE DR., KEY WEST, FL, 33040, US |
| Mail Address: | C/O JUAN M. LARRAURI, 3136 NORTHSIDE DR., KEY WEST, FL, 33040, US |
| ZIP code: | 33040 |
| County: | Monroe |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215039409 | 2006-09-01 | 2022-07-21 | 3136 NORHTSIDE DRIVE, KEY WEST, FL, 330408027, US | 3136 NORHTSIDE DRIVE, KEY WEST, FL, 330408027, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 305-294-1041 |
| Fax | 3052930990 |
Authorized person
| Name | ANA C SEGURA-GARCIA |
| Role | BILLING-CODING |
| Phone | 3052941041 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 255847500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LARRAURI JUAN MM.D. | Vice President | 3136 NORTHSIDE DRIVE, KEY WEST, FL, 33040 |
| LARRAURI JUAN MM.D. | Treasurer | 3136 NORTHSIDE DRIVE, KEY WEST, FL, 33040 |
| LARRAURI JUAN MM.D. | Secretary | 3136 NORTHSIDE DRIVE, KEY WEST, FL, 33040 |
| LARRAURI JUAN MM.D. | Director | 3136 NORTHSIDE DRIVE, KEY WEST, FL, 33040 |
| SMITH RHODA M | President | 3136 NORTHSIDE DRIVE, KEY WEST, FL, 33040 |
| SMITH RHODA M | Director | 3136 NORTHSIDE DRIVE, KEY WEST, FL, 33040 |
| Smith Rhoda MMD | Agent | 3136 Northside Drive, Key West, FL, 33040 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2024-06-20 | - | - |
| REGISTERED AGENT NAME CHANGED | 2022-01-12 | Smith, Rhoda M, MD | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-20 | 3136 Northside Drive, Key West, FL 33040 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-24 | C/O JUAN M. LARRAURI, 3136 NORTHSIDE DR., KEY WEST, FL 33040 | - |
| AMENDMENT AND NAME CHANGE | 2016-04-07 | KEY WEST SURGICAL GROUP, INC. | - |
| CHANGE OF MAILING ADDRESS | 2011-10-12 | C/O JUAN M. LARRAURI, 3136 NORTHSIDE DR., KEY WEST, FL 33040 | - |
| REINSTATEMENT | 2011-10-12 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| NAME CHANGE AMENDMENT | 2004-06-15 | LARRAURI, KLITENICK AND SMITH, M.D., P.A. | - |
| NAME CHANGE AMENDMENT | 2003-11-12 | LARRAURI AND KLITENICK, M.D., P.A. | - |
| Name | Date |
|---|---|
| Amendment | 2024-06-20 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-25 |
| AMENDED ANNUAL REPORT | 2022-05-17 |
| ANNUAL REPORT | 2022-01-12 |
| ANNUAL REPORT | 2021-01-20 |
| ANNUAL REPORT | 2020-01-29 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-03-11 |
| ANNUAL REPORT | 2017-04-04 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7206977207 | 2020-04-28 | 0455 | PPP | 3136 NORTHSIDE DR, KEY WEST, FL, 33040-8027 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 02 Apr 2025
Sources: Florida Department of State
