| Entity Name: | SEVEN HILLS SURGERY CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Jul 2005 (20 years ago) |
| Document Number: | L05000066644 |
| FEI/EIN Number | 203044042 |
| Address: | 2010 FLEISCHMANN ROAD, TALLAHASSEE, FL, 32308-4599 |
| Mail Address: | 2010 FLEISCHMANN ROAD, TALLAHASSEE, FL, 32308-4599 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790736502 | 2006-05-15 | 2022-05-31 | 2010 FLEISCHMANN RD, TALLAHASSEE, FL, 323084599, US | 2010 FLEISCHMANN RD, TALLAHASSEE, FL, 323084599, US | |||||||||||||||||||||||||||||||
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| Phone | +1 850-552-0608 |
| Fax | 8505520925 |
Authorized person
| Name | DR. TONY A WEAVER |
| Role | OWNER |
| Phone | 8505520608 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1240 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FL BCBS PROVIDER ID |
| Number | 6L6 |
| State | FL |
| Issuer | MEDICAID |
| Number | 076139700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Walgamott Brian S | Agent | 2010 FLEISCHMANN ROAD, TALLAHASSEE, FL, 323084599 |
| Name | Role |
|---|---|
| TONY A. WEAVER, INC. | Managing Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-11-20 | Walgamott, Brian S | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-11-20 | 2010 FLEISCHMANN ROAD, TALLAHASSEE, FL 32308-4599 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-01-25 | 2010 FLEISCHMANN ROAD, TALLAHASSEE, FL 32308-4599 | No data |
| CHANGE OF MAILING ADDRESS | 2006-01-25 | 2010 FLEISCHMANN ROAD, TALLAHASSEE, FL 32308-4599 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-03-23 |
| AMENDED ANNUAL REPORT | 2020-11-20 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-03-28 |
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-01-14 |
| ANNUAL REPORT | 2016-03-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
