| Entity Name: | TRINITY SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Jul 2002 (23 years ago) |
| Document Number: | L02000016588 |
| FEI/EIN Number | 020656933 |
| Address: | 2020 TRINITY OAKS BLVD., TRINITY, FL, 34655, US |
| Mail Address: | 2020 TRINITY OAKS BLVD., TRINITY, FL, 34655, US |
| ZIP code: | 34655 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801899687 | 2005-05-24 | 2015-11-02 | PO BOX 100307, ATLANTA, GA, 303840307, US | 2020 TRINITY OAKS BLVD, TRINITY, FL, 346554402, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 727-372-4055 |
| Fax | 7273724066 |
Authorized person
| Name | MRS. DONNA ST LOUIS |
| Role | VP |
| Phone | 7273946747 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | F1401 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0755109-00 |
| State | FL |
| Issuer | STATE LICENSE |
| Number | 0941 |
| State | FL |
| Name | Role |
|---|---|
| BAYCARE HEALTH SYSTEM, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Ghanekar Dilip Dr. | Director | 8452 118TH AVE., N, LARGO, FL, 33773 |
| HALE BRIAN Dr. | Director | 35095 US 19 N SUITE 202, NEW PORT RICHEY, FL, 34684 |
| Choi Sang Dr. | Director | 8452 118TH AVE N, LARGO, FL, 33773 |
| Name | Role | Address |
|---|---|---|
| Tremonti Carl | Treasurer | 3503 E. Frontage Road, Tampa, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| Smith Laura Dr. | Secretary | 3890 Tampa Road, Palm Harbor, FL, 34684 |
| Name | Role | Address |
|---|---|---|
| Jones Todd | President | 3890 Tampa Road, Palm Harbor, FL, 34684 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000041302 | BAYCARE SURGERY CENTER | EXPIRED | 2014-04-25 | 2024-12-31 | No data | 3890 TAMPA ROAD, PALM HARBOR, FL, 34684 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2018-06-06 | No data | No data |
| LC STMNT OF RA/RO CHG | 2017-05-17 | No data | No data |
| LC STMNT OF RA/RO CHG | 2015-04-23 | No data | No data |
| LC STMNT OF RA/RO CHG | 2015-03-24 | No data | No data |
| MERGER | 2013-07-31 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 700000133317 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
