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  5. SURGERY CENTER OF MOUNT DORA, LLC

SURGERY CENTER OF MOUNT DORA, LLC - Florida Company Profile

Company Details

Entity Name: SURGERY CENTER OF MOUNT DORA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SURGERY CENTER OF MOUNT DORA, 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
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: 16 Apr 2008 (17 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 22 Nov 2019 (5 years ago)
Document Number: L08000038207
FEI/EIN Number 262446297

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 3710 LAKE CENTER DR, MOUNT DORA, FL, 32757, US
Mail Address: 3710 LAKE CENTER DR, MOUNT DORA, FL, 32757, US
ZIP code: 32757
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164656740 2009-05-11 2014-12-02 3710 LAKE CENTER DR., MOUNT DORA, FL, 32757, US 3710 LAKE CENTER DR., MOUNT DORA, FL, 32757, US

Contacts
Phone +1 352-383-1268
Fax 3523853199

Authorized person
Name MR. JUAN USON
Role ADMINISTRATOR
Phone 3523831268

Taxonomy
Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary Yes

Central Index Key

CIK number Mailing Address Business Address Phone
0001457921 4 WESTBROOK CORPORATE CENTER, SUITE 440, WESTCHESTER, IL, 60154 4 WESTBROOK CORPORATE CENTER, SUITE 440, WESTCHESTER, IL, 60154 -

Filings since 2009-02-26
Form type REGDEX
File number 021-127500
Filing date 2009-02-26
File View File

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SURGERY CENTER OF MOUNT DORA 401(K) PLAN 2012 262446297 2013-12-16 SURGERY CENTER OF MOUNT DORA 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-07-01
Business code 621493
Sponsor’s telephone number 3523831268
Plan sponsor’s address 3710 LAKE CENTER DRIVE, MOUNT DORA, FL, 32750

Signature of
Role Plan administrator
Date 2013-12-16
Name of individual signing SHIRLEY THOMAS
Valid signature Filed with authorized/valid electronic signature
SURGERY CENTER OF MOUNT DORA 401(K) PLAN 2012 262446297 2013-05-31 SURGERY CENTER OF MOUNT DORA 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-07-01
Business code 621493
Sponsor’s telephone number 3523831268
Plan sponsor’s address 3710 LAKE CENTER DRIVE, MOUNT DORA, FL, 32750

Signature of
Role Plan administrator
Date 2013-05-31
Name of individual signing SHIRLEY THOMAS
Valid signature Filed with authorized/valid electronic signature
SURGERY CENTER OF MOUNT DORA 401(K) PLAN 2011 262446297 2012-07-31 SURGERY CENTER OF MOUNT DORA 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-07-01
Business code 621493
Sponsor’s telephone number 3523831268
Plan sponsor’s address 3710 LAKE CENTER DRIVE, MOUNT DORA, FL, 32750

Plan administrator’s name and address
Administrator’s EIN 262446297
Plan administrator’s name SURGERY CENTER OF MOUNT DORA
Plan administrator’s address 3710 LAKE CENTER DRIVE, MOUNT DORA, FL, 32750
Administrator’s telephone number 3523831268

Signature of
Role Plan administrator
Date 2012-07-31
Name of individual signing SHIRLEY THOMAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-31
Name of individual signing SHIRLEY THOMAS
Valid signature Filed with authorized/valid electronic signature
SURGERY CENTER OF MOUNT DORA 401(K) PLAN 2010 262446297 2011-09-21 SURGERY CENTER OF MOUNT DORA 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-07-01
Business code 621493
Sponsor’s telephone number 3523831268
Plan sponsor’s address 3710 LAKE CENTER DRIVE, MOUNT DORA, FL, 32750

Plan administrator’s name and address
Administrator’s EIN 262446297
Plan administrator’s name SURGERY CENTER OF MOUNT DORA
Plan administrator’s address 3710 LAKE CENTER DRIVE, MOUNT DORA, FL, 32750
Administrator’s telephone number 3523831268

Signature of
Role Plan administrator
Date 2011-09-21
Name of individual signing SHIRLEY THOMAS
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
PRIMARY CARE ALLIANCE, LLC Manager -
MANOOGIAN VREJ M Manager 1945 Bay Road, MOUNT DORA, FL, 32757
Coker Joey Jr. Agent 3710 LAKE CENTER DR, MOUNT DORA, FL, 32757

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-04-05 Coker, Joey, Jr. -
LC STMNT OF RA/RO CHG 2019-11-22 - -
CHANGE OF MAILING ADDRESS 2010-01-18 3710 LAKE CENTER DR, MOUNT DORA, FL 32757 -
CHANGE OF PRINCIPAL ADDRESS 2009-08-27 3710 LAKE CENTER DR, MOUNT DORA, FL 32757 -
REGISTERED AGENT ADDRESS CHANGED 2009-08-27 3710 LAKE CENTER DR, MOUNT DORA, FL 32757 -
LC AMENDMENT 2008-04-24 - -

Documents

Name Date
ANNUAL REPORT 2024-04-08
ANNUAL REPORT 2023-04-05
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-01-20
ANNUAL REPORT 2020-04-17
CORLCRACHG 2019-11-22
ANNUAL REPORT 2019-01-07
ANNUAL REPORT 2018-04-03
ANNUAL REPORT 2017-01-23
ANNUAL REPORT 2016-04-04

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6868227210 2020-04-28 0491 PPP 3710 LAKE CENTER DR, MT DORA, FL, 32757
Loan Status Date 2021-11-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 204100
Loan Approval Amount (current) 204100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MT DORA, LAKE, FL, 32757-0001
Project Congressional District FL-11
Number of Employees 20
NAICS code 812112
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 206923.85
Forgiveness Paid Date 2021-10-06

Companies related by officers

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Companies related by address

No other companies in our directory share the same address as SURGERY CENTER OF MOUNT DORA, LLC

Date of last update: 02 May 2025

Sources: Florida Department of State

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