| Entity Name: | PADDOCK PARK SURGERY CENTER, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Jul 2001 (24 years ago) |
| Document Number: | L01000011764 |
| FEI/EIN Number | 593731322 |
| Mail Address: | 3320 SW 34TH CIRCLE, OCALA, FL, 34474 |
| Address: | 3320 SW 34TH CIRCLE, OCALA, FL, 34474, UN |
| ZIP code: | 34474 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932106119 | 2005-07-05 | 2022-07-21 | 3320 SW 34TH CIR, OCALA, FL, 344743371, US | 3320 SW 34TH CIR, OCALA, FL, 344743371, US | |||||||||||||||||||||||
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| Phone | +1 352-479-0149 |
| Fax | 3526295231 |
Authorized person
| Name | LISA PARKER |
| Role | INSURANCE BILLING COORDINATOR |
| Phone | 3524790149 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 6B2 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GASSMAN ALAN S | Agent | 1245 COURT STREET SUITE 102, CLEARWATER, FL, 33756 |
| Name | Role | Address |
|---|---|---|
| ROGERS JAMES H | Manager | 3320 SW 34TH CIR, OCALA, FL, 34474 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-25 | 3320 SW 34TH CIRCLE, OCALA, FL 34474 UN | No data |
| CHANGE OF MAILING ADDRESS | 2002-02-26 | 3320 SW 34TH CIRCLE, OCALA, FL 34474 UN | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-30 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-02-11 |
| ANNUAL REPORT | 2020-02-17 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-02-26 |
| ANNUAL REPORT | 2016-02-05 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
