| Entity Name: | NORTH PINELLAS SURGERY CENTER, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Dec 2001 (23 years ago) |
| Document Number: | L01000021087 |
| FEI/EIN Number | 593759228 |
| Address: | 2323 CURLEW ROAD, BLDG. 5, DUNEDIN, FL, 34698, US |
| Mail Address: | 2323 CURLEW ROAD, BLDG. 5, DUNEDIN, FL, 34698, US |
| ZIP code: | 34698 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750333746 | 2006-05-17 | 2007-11-28 | 2323 CURLEW RD, BUILDING 5, DUNDEIN, FL, 346989307, US | 2323 CURLEW RD, BUILDING 5, DUNDEIN, FL, 346989307, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-771-8333 |
| Fax | 7277718844 |
Authorized person
| Name | DEBBIE WEIGLE |
| Role | ADMINISTRATOR CFO |
| Phone | 7277718333 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | UNITED HEALTHCARE |
| Number | 6800333 |
| Issuer | MEDICAID |
| Number | 075258400 |
| State | FL |
| Issuer | WELLCARE |
| Number | 200768 |
| Issuer | CIGNA |
| Number | 94944591 |
| Issuer | AETNA |
| Number | 7494346 |
| Issuer | BCBS |
| Number | 69Y |
| Name | Role | Address |
|---|---|---|
| Nelson Linda Padminis | Agent | 2323 CURLEW ROAD, DUNEDIN, FL, 34698 |
| Name | Role | Address |
|---|---|---|
| AMIN SANJIV | Manager | 2323 CURLEW ROAD, BLDG. 5, DUNEDIN, FL, 34698 |
| DALY JOSEPH | Manager | 2323 CURLEW ROAD, BLDG. 5, DUNEDIN, FL, 34698 |
| DEVICENTE NOAH | Manager | 2323 CURLEW ROAD, BLDG. 5, DUNEDIN, FL, 34698 |
| HUMPHREYS KEVIN | Manager | 2323 CURLEW ROAD, BLDG. 5, DUNEDIN, FL, 34698 |
| KHANIJOW VIKESH | Manager | 2323 CURLEW ROAD, BLDG. 5, DUNEDIN, FL, 34698 |
| NANDA ARJUN | Manager | 2323 CURLEW ROAD, BLDG. 5, DUNEDIN, FL, 34698 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2020-03-19 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
