| Entity Name: | SOUTHPOINT SURGERY CENTER, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Aug 2004 (20 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 24 Mar 2015 (10 years ago) |
| Document Number: | L04000064641 |
| FEI/EIN Number | 203579196 |
| Address: | 7051 SOUTHPOINT PKWY S, STE 100, JACKSONVILLE, FL, 32216, US |
| Mail Address: | 7051 SOUTHPOINT PKWY S, STE 100, JACKSONVILLE, FL, 32216, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174566715 | 2006-06-13 | 2020-08-22 | 7051 SOUTHPOINT PARKWAY, JACKSONVILLE, FL, 32216, US | 7051 SOUTHPOINT PARKWAY, JACKSONVILLE, FL, 322160000, US | |||||||||||||||
|
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| Phone | +1 904-854-4854 |
| Fax | 9043986408 |
Authorized person
| Name | ERNST NICOLITZ |
| Role | MEDICAL DIRECTOR |
| Phone | 9048544854 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHETTY RAJESH | Agent | 7051 SOUTHPOINT PKWY S, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| SHETTY RAJESH MD | Manager | 11512 LAKE MEAD AVE #534, JACKSONVILLE, FL, 32256 |
| CHOKSHI AMIT MD | Manager | 11512 LAKE MEAD AVE #534, JACKSONVILLE, FL, 32256 |
| PATEL RAVI MD | Manager | 11512 LAKE MEAD AVE #534, JACKSONVILLE, FL, 32256 |
| HASAN SAIYID MD | Manager | 11512 Lake Mead Avenue Suite 534, Jacksonville, FL, 32256 |
| KOSTICK DAVID MD | Manager | 11512 Lake Mead Avenue Suite 534, Jacksonville, FL, 32256 |
| FREIDL KATHRYN | Manager | 11512 Lake Mead Avenue, Jacksonville, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-09 | 7051 SOUTHPOINT PKWY S, STE 100, JACKSONVILLE, FL 32216 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-09 | 7051 SOUTHPOINT PKWY S, STE 100, JACKSONVILLE, FL 32216 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-03-09 | SHETTY, RAJESH | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-09 | 7051 SOUTHPOINT PKWY S, STE 100, JACKSONVILLE, FL 32216 | No data |
| LC AMENDMENT | 2015-03-24 | No data | No data |
| REINSTATEMENT | 2014-11-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-01-10 |
| AMENDED ANNUAL REPORT | 2016-06-24 |
| ANNUAL REPORT | 2016-03-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
