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TAMPA SURGERY CENTER LLC - Florida Company Profile

Company Details

Entity Name: TAMPA SURGERY CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

TAMPA 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.
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: 09 Jan 2009 (16 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 30 Dec 2020 (4 years ago)
Document Number: L09000003020
FEI/EIN Number 264008716

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 13904 N DALE MABRY HWY, SUITE 200, TAMPA, FL, 33618, US
Mail Address: 13904 N DALE MABRY HIGHWAY, STE 200, TAMPA, FL, 33618, US
ZIP code: 33618
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023256187 2009-01-28 2020-10-21 13904 N DALE MABRY HWY, SUITE 100, TAMPA, FL, 336182446, US 13904 N DALE MABRY HWY, SUITE 100, TAMPA, FL, 336182446, US

Contacts

Phone +1 813-968-3937
Fax 8139691002

Authorized person

Name THOMAS HUNTER NEWSOM
Role PRESIDENT
Phone 8139683937

Taxonomy

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

Other Provider Identifiers

Issuer MEDICARE PTAN
Number 1023256187
State FL

Key Officers & Management

Name Role Address
WALLS AMANDA L Agent 225 EAST LEMON STREET, LAKELAND, FL, 33801
WYAM, LLC Manager 245 COURT STREET, CLEARWATER, FL, 33756

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-03-17 13904 N DALE MABRY HWY, SUITE 200, TAMPA, FL 33618 -
LC AMENDMENT 2020-12-30 - -
REGISTERED AGENT NAME CHANGED 2020-12-30 WALLS, AMANDA L -
REGISTERED AGENT ADDRESS CHANGED 2020-12-30 225 EAST LEMON STREET, SUITE 300, LAKELAND, FL 33801 -
CHANGE OF MAILING ADDRESS 2014-01-15 13904 N DALE MABRY HWY, SUITE 200, TAMPA, FL 33618 -

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-02-28
ANNUAL REPORT 2022-04-15
ANNUAL REPORT 2021-03-17
LC Amendment 2020-12-30
ANNUAL REPORT 2020-06-17
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-03-01
ANNUAL REPORT 2017-02-24
ANNUAL REPORT 2016-01-20

Date of last update: 01 Apr 2025

Sources: Florida Department of State