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WEST PARK SURGERY CENTER, L.L.C. - Florida Company Profile

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Company Details

Entity Name: WEST PARK SURGERY CENTER, L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Jul 2004 (21 years ago)
Document Number: L04000050625
FEI/EIN Number 260092101
Mail Address: 501 N. Reo Street, Tampa, FL, 33609, US
Address: 6640 78th Avenue North, Pinellas Park, FL, 33781, US
ZIP code: 33781
City: Pinellas Park
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Helms Josh Chief Executive Officer 501 N. Reo Street, Tampa, FL, 33609
Gari Tracie Chief Administrative Officer 501 N. Reo Street, Tampa, FL, 33609
WOOD DAVID A President 501 N. Reo Street, Tampa, FL, 33609
Wood David Agent 501 N. Reo Street, Tampa, FL, 33609

Unique Entity ID

Unique Entity ID:
XWWLEEEN51R8
UEI Expiration Date:
2025-09-09

Business Information

Activation Date:
2024-09-09
Initial Registration Date:
2024-07-25

National Provider Identifier

NPI Number:
1043272750
Certification Date:
2023-06-26

Authorized Person:

Name:
JOSHUA HELMS
Role:
CHIEF EXECUTIVE OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
282N00000X - General Acute Care Hospital
Is Primary:
No
Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7275490620
Fax:
7275188662

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-05-23 501 N. Reo Street, Tampa, FL 33609 -
CHANGE OF MAILING ADDRESS 2023-05-23 501 N. Reo Street, Tampa, FL 33609 -
REGISTERED AGENT NAME CHANGED 2023-03-14 Wood, David -
REGISTERED AGENT ADDRESS CHANGED 2020-06-26 504 N. REO STREET, TAMPA, FL 33609 -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-03-14
ANNUAL REPORT 2022-03-30
ANNUAL REPORT 2021-03-12
ANNUAL REPORT 2020-06-26
ANNUAL REPORT 2019-04-20
AMENDED ANNUAL REPORT 2018-09-07
ANNUAL REPORT 2018-02-16
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-03-02

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Date of last update: 02 Aug 2025

Sources: Florida Department of State