| Entity Name: | LYNN HAVEN SURGICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 31 Dec 1984 (40 years ago) |
| Document Number: | H36078 |
| FEI/EIN Number | 592474811 |
| Address: | 1301 OHIO AVENUE, LYNN HAVEN, FL, 32444 |
| Mail Address: | 1301 OHIO AVENUE, LYNN HAVEN, FL, 32444 |
| ZIP code: | 32444 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508892639 | 2006-06-23 | 2015-01-14 | 1301 OHIO AVE, LYNN HAVEN, FL, 324442558, US | 1301 OHIO AVE, LYNN HAVEN, FL, 324442558, US | |||||||||||||||||||
|
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| Phone | +1 850-265-6604 |
| Fax | 8502654879 |
Authorized person
| Name | AZIZ AHMAD |
| Role | OWNER |
| Phone | 8502656604 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Taxonomy Code | 208C00000X - Colon & Rectal Surgery Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Howell Eric | Agent | 408 W Baldwin Rd, Panama City, FL, 32405 |
| Name | Role | Address |
|---|---|---|
| AHMAD, AZIZ | President | 1301 OHIO AVENUE, LYNN HAVEN, FL, 32444 |
| Name | Role | Address |
|---|---|---|
| AHMAD, AZIZ | Secretary | 1301 OHIO AVENUE, LYNN HAVEN, FL, 32444 |
| Name | Role | Address |
|---|---|---|
| AHMAD, AZIZ | Treasurer | 1301 OHIO AVENUE, LYNN HAVEN, FL, 32444 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-13 | No data | No data |
| NAME CHANGE AMENDMENT | 1996-09-18 | LYNN HAVEN SURGICAL CENTER, INC. | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
