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CORAL RIDGE OUTPATIENT CENTER, LLC

Company Details

Entity Name: CORAL RIDGE OUTPATIENT CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Aug 2006 (19 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 18 Nov 2013 (11 years ago)
Document Number: L06000081422
FEI/EIN Number 205429299
Address: 14201 Dallas Parkway, Dallas, TX, 75254, US
Mail Address: 14201 Dallas Parkway, Dallas, TX, 75254, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114126596 2007-07-16 2024-09-06 5301 N DIXIE HWY, OAKLAND PARK, FL, 33334, US 5301 N DIXIE HWY, SUITE 100, OAKLAND PARK, FL, 333343403, US

Contacts

Phone +1 954-832-3300
Fax 9548323301

Authorized person

Name COLLIN LEMAISTRE
Role OFFICER / AUTHORIZED OFFICIAL
Phone 2142130732

Taxonomy

Taxonomy Code 207RG0100X - Gastroenterology Physician
Is Primary No
Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
License Number 1310
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CORAL RIDGE OUTPATIENT CENTER 401(K) PLAN 2012 205429299 2013-06-10 CORAL RIDGE OUTPATIENT CENTER, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-04-01
Business code 621493
Sponsor’s telephone number 5614177568
Plan sponsor’s address 4181 NW 1ST AVENUE SUITE 11, BOCA RATON, FL, 33431

Signature of

Role Plan administrator
Date 2013-06-10
Name of individual signing BONNIE CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
CORAL RIDGE OUTPATIENT CENTER 401(K) PLAN 2011 205429299 2012-05-15 CORAL RIDGE OUTPATIENT CENTER, LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-04-01
Business code 621493
Sponsor’s telephone number 5614177568
Plan sponsor’s address 4181 NW 1ST AVENUE SUITE 11, BOCA RATON, FL, 33431

Plan administrator’s name and address

Administrator’s EIN 205429299
Plan administrator’s name CORAL RIDGE OUTPATIENT CENTER, LLC
Plan administrator’s address 4181 NW 1ST AVENUE SUITE 11, BOCA RATON, FL, 33431
Administrator’s telephone number 5614177568

Signature of

Role Plan administrator
Date 2012-05-15
Name of individual signing BONNIE CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
CORAL RIDGE OUTPATIENT CENTER 401(K) PLAN 2010 205429299 2011-10-31 CORAL RIDGE OUTPATIENT CENTER, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-04-01
Business code 621493
Sponsor’s telephone number 5614177568
Plan sponsor’s address 4181 NW 1ST AVENUE SUITE 11, BOCA RATON, FL, 33431

Plan administrator’s name and address

Administrator’s EIN 205429299
Plan administrator’s name CORAL RIDGE OUTPATIENT CENTER, LLC
Plan administrator’s address 4181 NW 1ST AVENUE SUITE 11, BOCA RATON, FL, 33431
Administrator’s telephone number 5614177568

Signature of

Role Plan administrator
Date 2011-10-31
Name of individual signing BONNIE CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
CORAL RIDGE OUTPATIENT CENTER 401(K) PLAN 2009 205429299 2011-03-24 CORAL RIDGE OUTPATIENT CENTER, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-04-01
Business code 621493
Sponsor’s telephone number 5614177568
Plan sponsor’s address 4181 NW 1ST AVENUE, SUITE 11, BOCA RATON, FL, 33431

Plan administrator’s name and address

Administrator’s EIN 205429299
Plan administrator’s name CORAL RIDGE OUTPATIENT CENTER, LLC
Plan administrator’s address 4181 NW 1ST AVENUE, SUITE 11, BOCA RATON, FL, 33431
Administrator’s telephone number 5614177568

Signature of

Role Plan administrator
Date 2011-03-24
Name of individual signing BONNIE CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 1200 S PINE ISLAND RD, PLANTATION, FL, 33324

Managing Member

Name Role
NATIONAL SURGERY CENTER HOLDINGS, INC. Managing Member

Secretary

Name Role Address
Bowden James Secretary 14201 Dallas Parkway, Dallas, TX, 75254

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-05-27 14201 Dallas Parkway, Dallas, TX 75254 No data
CHANGE OF MAILING ADDRESS 2020-05-27 14201 Dallas Parkway, Dallas, TX 75254 No data
LC AMENDMENT 2013-11-18 No data No data
REGISTERED AGENT NAME CHANGED 2013-11-18 CT CORPORATION SYSTEM No data
REGISTERED AGENT ADDRESS CHANGED 2013-11-18 1200 S PINE ISLAND RD, PLANTATION, FL 33324 No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-18
ANNUAL REPORT 2022-03-05
ANNUAL REPORT 2021-04-09
ANNUAL REPORT 2020-05-27
ANNUAL REPORT 2019-05-01
ANNUAL REPORT 2018-03-30
ANNUAL REPORT 2017-04-17
ANNUAL REPORT 2016-04-08
ANNUAL REPORT 2015-04-16

Date of last update: 01 Feb 2025

Sources: Florida Department of State