| Entity Name: | CARILLON SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
CARILLON SURGERY CENTER, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 20 Jul 2007 (18 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 04 Jun 2018 (7 years ago) |
| Document Number: | L07000075481 |
| FEI/EIN Number |
261116740
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 900 CARILLON PKWY, SUITE 205, ST PETERSBURG, FL, 33716, US |
| Mail Address: | C/O DONNA ST LOUIS, 8452 118TH AVE N, LARGO, FL, 33773, US |
| ZIP code: | 33716 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316189095 | 2009-03-27 | 2021-04-12 | PO BOX 405830, ATLANTA, GA, 303845830, US | 900 CARILLON PKWY, SUITE 205, ST PETERSBURG, FL, 337161115, US | |||||||||||||||||||||||||||||
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| Phone | +1 813-852-3272 |
| Fax | 8136352613 |
| Phone | +1 727-561-2710 |
| Fax | 7275612770 |
Authorized person
| Name | MR. CHRISTOPHER TODD JONES |
| Role | VP AMBULATORY SERVICES |
| Phone | 7272813313 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1315 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001037300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| EATON KATULLE M.D. | President | 8452 118TH AVE N, LARGO, FL, 33773 |
| MENON SANJAY M.D. | Director | 8452 118TH AVE N, LARGO, FL, 33773 |
| Tremonti Carl | Treasurer | 8452 118TH AVE N, LARGO, FL, 33773 |
| Jones Todd M.D. | Vice President | 2985 Drew Street, Clearwater, FL, 33759 |
| Christopher Bucciarelli Dr. | Director | 2985 Drew St, Clearwater, FL, 33759 |
| Carlan Douglas Dr. | Medi | 900 CARILLON PKWY, ST PETERSBURG, FL, 33716 |
| BAYCARE HEALTH SYSTEM, INC. | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000041302 | BAYCARE SURGERY CENTER | EXPIRED | 2014-04-25 | 2024-12-31 | - | 3890 TAMPA ROAD, PALM HARBOR, FL, 34684 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-07 | BAYCARE HEALTH SYSTEM, INC. | - |
| LC STMNT OF RA/RO CHG | 2018-06-04 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-06-04 | 900 CARILLON PKWY, SUITE 205, ST PETERSBURG, FL 33716 | - |
| CHANGE OF MAILING ADDRESS | 2018-06-04 | 900 CARILLON PKWY, SUITE 205, ST PETERSBURG, FL 33716 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-06-04 | ATTN: LEGAL SERVICES DEPARTMENT, 2985 DREW ST, CLEARWATER, FL 33759 | - |
| LC STMNT OF RA/RO CHG | 2017-05-17 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-14 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-03-01 |
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-04-21 |
| ANNUAL REPORT | 2019-03-20 |
| CORLCRACHG | 2018-06-04 |
| ANNUAL REPORT | 2018-03-15 |
| CORLCRACHG | 2017-05-17 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
