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  5. FLORIDA SURGERY CENTER ENTERPRISES, LLC

FLORIDA SURGERY CENTER ENTERPRISES, LLC

Company Details

Entity Name: FLORIDA SURGERY CENTER ENTERPRISES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 19 Feb 2007 (18 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: L07000018916
FEI/EIN Number 208493127
Address: 360 Blanca Ave, Tampa, FL, 33606, US
Mail Address: 360 Blanca Ave, Tampa, FL, 33606, US
ZIP code: 33606
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316973050 2006-06-24 2007-07-25 5013 N ARMENIA AVE, TAMPA, FL, 336031403, US 5013 N ARMENIA AVE, TAMPA, FL, 336031403, US

Contacts
Phone +1 813-875-0562
Fax 8138715236

Authorized person
Name MS. MAUREEN F. MARTIN
Role ADMINISTRATOR
Phone 8138444434

Taxonomy
Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
License Number 942
State FL
Is Primary Yes

Other Provider Identifiers
Issuer CITRUS CARE
Number 11115401
State FL
Issuer WELLCARE/STAYWELL
Number 17348
State FL
Issuer HEALTHEASE
Number 17348
State FL
Issuer AMERIGROUP
Number 215471
State FL
Issuer AETNA
Number 626273
State FL
Issuer BLUE CROSS BLUE SHIELD
Number 60X
State FL

Central Index Key

CIK number Mailing Address Business Address Phone
1401125 2 columbia drive, TAMPA, FL, 33606-3508 2 columbia drive, TAMPA, FL, 33606-3508 813-844-4434

Filings since 2008-09-04
Form type REGDEX/A
File number 021-103767
Filing date 2008-09-04
File View File

Filings since 2007-05-21
Form type REGDEX
File number 021-103767
Filing date 2007-05-21
File View File

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TAMPA OUTPATIENT SURGICAL FACILITY 401(K) PLAN 2022 208493127 2023-08-28 FLORIDA SURGERY CENTER ENTERPRISES LLC 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8138750562
Plan sponsor’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603
TAMPA OUTPATIENT SURGICAL FACILITY 401(K) PLAN 2022 208493127 2023-08-27 FLORIDA SURGERY CENTER ENTERPRISES, LLC 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8138750562
Plan sponsor’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603

Plan administrator’s name and address
Administrator’s EIN 208493127
Plan administrator’s name FLORIDA SURGERY CENTER ENTERPRISES, LLC
Plan administrator’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603
Administrator’s telephone number 8138750562
TAMPA OUTPATIENT SURGICAL FACILITY 401(K) PLAN 2021 208493127 2022-10-12 FLORIDA SURGERY CENTER ENTERPRISES, LLC 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8138750562
Plan sponsor’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603

Plan administrator’s name and address
Administrator’s EIN 208493127
Plan administrator’s name FLORIDA SURGERY CENTER ENTERPRISES, LLC
Plan administrator’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603
Administrator’s telephone number 8138750562
TAMPA OUTPATIENT SURGICAL FACILITY 401(K) PLAN 2020 208493127 2021-09-24 FLORIDA SURGERY CENTER ENTERPRISES, LLC 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8138750562
Plan sponsor’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603

Plan administrator’s name and address
Administrator’s EIN 208493127
Plan administrator’s name FLORIDA SURGERY CENTER ENTERPRISES, LLC
Plan administrator’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603
Administrator’s telephone number 8138750562
TAMPA OUTPATIENT SURGICAL FACILITY 401(K) PLAN 2019 208493127 2020-09-24 FLORIDA SURGERY CENTER ENTERPRISES, LLC 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8138750562
Plan sponsor’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603

Plan administrator’s name and address
Administrator’s EIN 208493127
Plan administrator’s name FLORIDA SURGERY CENTER ENTERPRISES, LLC
Plan administrator’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603
Administrator’s telephone number 8138750562
TAMPA OUTPATIENT SURGICAL FACILITY 401(K) PLAN 2018 208493127 2019-09-27 FLORIDA SURGERY CENTER ENTERPRISES, LLC 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8138750562
Plan sponsor’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603

Plan administrator’s name and address
Administrator’s EIN 208493127
Plan administrator’s name FLORIDA SURGERY CENTER ENTERPRISES, LLC
Plan administrator’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603
Administrator’s telephone number 8138750562
TAMPA OUTPATIENT SURGICAL FACILITY 401(K) PLAN 2017 208493127 2018-09-27 FLORIDA SURGERY CENTER ENTERPRISES, LLC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8138750562
Plan sponsor’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603

Plan administrator’s name and address
Administrator’s EIN 208493127
Plan administrator’s name FLORIDA SURGERY CENTER ENTERPRISES, LLC
Plan administrator’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603
Administrator’s telephone number 8138750562
TAMPA OUTPATIENT SURGICAL FACILITY 401(K) PLAN 2016 208493127 2018-01-04 FLORIDA SURGERY CENTER ENTERPRISES, LLC 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8138750562
Plan sponsor’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603

Plan administrator’s name and address
Administrator’s EIN 208493127
Plan administrator’s name FLORIDA SURGERY CENTER ENTERPRISES, LLC
Plan administrator’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603
Administrator’s telephone number 8138750562
TAMPA OUTPATIENT SURGICAL FACILITY 401(K) PLAN 2015 208493127 2016-10-17 FLORIDA SURGERY CENTER ENTERPRISES, LLC 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8138750562
Plan sponsor’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603

Plan administrator’s name and address
Administrator’s EIN 208493127
Plan administrator’s name FLORIDA SURGERY CENTER ENTERPRISES, LLC
Plan administrator’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603
Administrator’s telephone number 8138750562

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing DEVANAND MANGAR MD
Valid signature Filed with authorized/valid electronic signature
TAMPA OUTPATIENT SURGICAL FACILITY 401(K) PLAN 2014 208493127 2015-10-11 FLORIDA SURGERY CENTER ENTERPRISES, LLC 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8138750562
Plan sponsor’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603

Plan administrator’s name and address
Administrator’s EIN 208493127
Plan administrator’s name FLORIDA SURGERY CENTER ENTERPRISES, LLC
Plan administrator’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603
Administrator’s telephone number 8138750562

Signature of
Role Plan administrator
Date 2015-10-11
Name of individual signing DEVANAND MANGAR MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MANGAR DEVANAND Agent 360 Blanca Ave, Tampa, FL, 33606

Manager

Name Role Address
Mangar Devanand Manager 360 Blanca Ave, Tampa, FL, 33606

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-04-26 360 Blanca Ave, Tampa, FL 33606 No data
CHANGE OF MAILING ADDRESS 2021-04-26 360 Blanca Ave, Tampa, FL 33606 No data
REGISTERED AGENT ADDRESS CHANGED 2021-04-26 360 Blanca Ave, Tampa, FL 33606 No data
REGISTERED AGENT NAME CHANGED 2013-12-11 MANGAR, DEVANAND No data
LC AMENDED AND RESTATED ARTICLES 2007-04-09 No data No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J19000638955 TERMINATED 1000000841319 HILLSBOROU 2019-09-19 2029-09-25 $ 6,045.53 STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236

Documents

Name Date
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-01-02
ANNUAL REPORT 2019-01-16
ANNUAL REPORT 2018-01-11
ANNUAL REPORT 2017-02-28
ANNUAL REPORT 2016-02-12
ANNUAL REPORT 2015-02-02
ANNUAL REPORT 2014-01-30
Reg. Agent Change 2013-12-11
ANNUAL REPORT 2013-03-20

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4979687103 2020-04-13 0455 PPP 5013 N ARMENIA AVE, TAMPA, FL, 33603-1403
Loan Status Date 2021-02-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 339600
Loan Approval Amount (current) 339600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17616
Servicing Lender Name Seacoast National Bank
Servicing Lender Address 815 Colorado Ave, STUART, FL, 34994-3053
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address TAMPA, HILLSBOROUGH, FL, 33603-1403
Project Congressional District FL-14
Number of Employees 46
NAICS code 621493
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 17616
Originating Lender Name Seacoast National Bank
Originating Lender Address STUART, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 342149.33
Forgiveness Paid Date 2021-01-25

Related by officers

Mangar Devanand

DMMD II, LLC DMMD I, LLC FGTBA REAL ESTATE ENTERPRISES, LLC THE BROWNSTONES OF SOHO HOMEOWNERS' ASSOCIATION, INC. DMMD III, LLC MANGAR COVE DEVELOPMENT CORPORATION, INC.

MANGAR DEVANAND

PHYSICIANS' WELLNESS & REHABILITATION GROUP, LLC NAKANACHI III, LLC FLORIDA SURGERY CENTER ENTERPRISES NORTH, LLC GULF-TO-BAY RADIANT GRAPHICS, LLC GTB RAPID DETOX, LLC DMMD I, LLC GREEN APPLE AUDIT & COMPLIANCE, LLC GULF-TO-BAY BILLING ENTERPRISES, LLC LASER SPINE CENTER OF TAMPA BAY, PL GULFSTREAM MEDICAL BILLING TECHNOLOGY, LLC

Related by address

360 Blanca Ave, Tampa, FL, 33606, US

DMMD I, LLC ASBURY 3035, LLC DMMD IV, LLC FGTBA REAL ESTATE ENTERPRISES, LLC TAMPA SURGERY CENTER REAL ESTATE ENTERPRISES, LLC DMMD III, LLC UNIVERSITY FOUNDATION FOR EDUCATION AND RESEARCH, INC. MANGAR COVE DEVELOPMENT CORPORATION, INC.

360 Blanca Ave, Tampa, FL, 33606, US

DMMD I, LLC ASBURY 3035, LLC DMMD IV, LLC FGTBA REAL ESTATE ENTERPRISES, LLC TAMPA SURGERY CENTER REAL ESTATE ENTERPRISES, LLC DMMD III, LLC UNIVERSITY FOUNDATION FOR EDUCATION AND RESEARCH, INC. MANGAR COVE DEVELOPMENT CORPORATION, INC.

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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