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RIVERSIDE SURGICAL CENTER, LLC

Company Details

Entity Name: RIVERSIDE SURGICAL CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 20 Mar 2008 (17 years ago)
Last Event: LC DISSOCIATION MEM
Event Date Filed: 24 Mar 2015 (10 years ago)
Document Number: L08000029155
FEI/EIN Number 26-2228384
Mail Address: 340 SEVEN SPRINGS WAY, SUITE 600, BRENTWOOD, TN 37027
Address: 7207 Golden Wings Road, Suite 200, Jacksonville, FL 32244
ZIP code: 32244
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548594880 2009-09-18 2009-09-18 7207 GOLDEN WINGS ROAD, SUITE 200, JACKSONVILLE, FL, 32244, US 7207 GOLDEN WINGS ROAD, SUITE 200, JACKSONVILLE, FL, 32244, US

Contacts

Phone +1 904-389-1010
Fax 9043891082

Authorized person

Name DR. STEPHEN SCOTT KRAMARICH
Role MEDICAL DIRECTOR
Phone 9043891010

Taxonomy

Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
License Number 1320
State FL
Is Primary Yes

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

AUTHORIZED PERSON

Name Role Address
BALDOCK, JENNIFER AUTHORIZED PERSON 340 Seven Springs Way, Suite 600 Brentwood, TN 37027

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-06-11 7207 Golden Wings Road, Suite 200, Jacksonville, FL 32244 No data
CHANGE OF MAILING ADDRESS 2023-04-24 7207 Golden Wings Road, Suite 200, Jacksonville, FL 32244 No data
REGISTERED AGENT NAME CHANGED 2019-06-18 CORPORATION SERVICE COMPANY No data
REGISTERED AGENT ADDRESS CHANGED 2019-06-18 1201 HAYS STREET, TALLAHASSEE, FL 32301 No data
LC DISSOCIATION MEM 2015-03-24 No data No data
LC AMENDMENT 2014-01-27 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-04-22
ANNUAL REPORT 2021-04-22
ANNUAL REPORT 2020-02-05
ANNUAL REPORT 2019-06-18
ANNUAL REPORT 2018-03-27
ANNUAL REPORT 2017-02-21
ANNUAL REPORT 2016-01-19
CORLCDSMEM 2015-03-24

Date of last update: 26 Jan 2025

Sources: Florida Department of State