Search icon

SURGCENTER PINELLAS, LLC

Company Details

Entity Name: SURGCENTER PINELLAS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 16 Oct 2009 (15 years ago)
Document Number: L09000100238
FEI/EIN Number 271372259
Mail Address: 14201 DALLAS PKWY, FL 13, Dallas, TX, 75254, US
Address: 12416 66TH STREET NORTH, SUITE D, LARGO, FL, 33773
ZIP code: 33773
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881905792 2010-06-24 2024-09-10 12416 66TH ST STE D, LARGO, FL, 337733430, US 12416 66TH ST N, STE D, LARGO, FL, 337733430, US

Contacts

Phone +1 727-408-5310
Fax 7275310360

Authorized person

Name COLLIN LEMAISTRE
Role OFFICER/AUTHORIZED OFFICIAL
Phone 4047812921

Taxonomy

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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SURGCENTER PINELLAS, LLC 401K PLAN 2021 271372259 2022-07-29 SURGCENTER PINELLAS, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621498
Sponsor’s telephone number 7274085310
Plan sponsor’s address 12416 66TH STREET NORTH, LARGO, FL, 33773

Signature of

Role Plan administrator
Date 2022-07-29
Name of individual signing RITA IWANSKI
Valid signature Filed with authorized/valid electronic signature
SURGCENTER PINELLAS, LLC 401K PLAN 2020 271372259 2021-08-05 SURGCENTER PINELLAS, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621498
Sponsor’s telephone number 7274085310
Plan sponsor’s address 12416 66TH STREET NORTH, LARGO, FL, 33773

Signature of

Role Plan administrator
Date 2021-08-05
Name of individual signing RITA IWANSKI
Valid signature Filed with authorized/valid electronic signature
SURGCENTER PINELLAS, LLC 401K PLAN 2019 271372259 2020-05-13 SURGCENTER PINELLAS, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621498
Sponsor’s telephone number 7274085310
Plan sponsor’s address 12416 66TH STREET NORTH, LARGO, FL, 33773

Signature of

Role Plan administrator
Date 2020-05-13
Name of individual signing RITA IWANSKI
Valid signature Filed with authorized/valid electronic signature
SURGCENTER PINELLAS, LLC 401K PLAN 2018 271372259 2019-04-29 SURGCENTER PINELLAS, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621498
Sponsor’s telephone number 7274085310
Plan sponsor’s address 12416 66TH STREET NORTH, LARGO, FL, 33773

Signature of

Role Plan administrator
Date 2019-04-29
Name of individual signing RITA IWANSKI
Valid signature Filed with authorized/valid electronic signature
SURGCENTER PINELLAS, LLC 401K PLAN 2017 271372259 2018-05-03 SURGCENTER PINELLAS, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621498
Sponsor’s telephone number 7274085310
Plan sponsor’s address 12416 66TH STREET NORTH, LARGO, FL, 33773

Signature of

Role Plan administrator
Date 2018-05-03
Name of individual signing RITA IWANSKI
Valid signature Filed with authorized/valid electronic signature
SURGCENTER PINELLAS, LLC 401K PLAN 2016 271372259 2017-07-17 SURGCENTER PINELLAS, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621498
Sponsor’s telephone number 7274085310
Plan sponsor’s address 12416 66TH STREET NORTH, LARGO, FL, 33773

Signature of

Role Plan administrator
Date 2017-07-17
Name of individual signing RITA IWANSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-17
Name of individual signing RITA IWANSKI
Valid signature Filed with authorized/valid electronic signature
SURGCENTER PINELLAS, LLC 401K PLAN 2015 271372259 2016-07-12 SURGCENTER PINELLAS, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621498
Sponsor’s telephone number 7274085310
Plan sponsor’s address 12416 66TH STREET NORTH, LARGO, FL, 33773

Signature of

Role Plan administrator
Date 2016-05-13
Name of individual signing RITA IWANSKI
Valid signature Filed with authorized/valid electronic signature
SURGCENTER PINELLAS, LLC 401K PLAN 2014 271372259 2015-12-02 SURGCENTER PINELLAS, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621498
Sponsor’s telephone number 7274085310
Plan sponsor’s address 12416 66TH STREET NORTH, LARGO, FL, 33773

Signature of

Role Plan administrator
Date 2015-12-02
Name of individual signing RITA IWANSKI
Valid signature Filed with authorized/valid electronic signature
SURGCENTER PINELLAS, LLC 401K PLAN 2014 271372259 2015-04-10 SURGCENTER PINELLAS, LLC 19
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621498
Sponsor’s telephone number 7274085310
Plan sponsor’s address 12416 66TH STREET NORTH, LARGO, FL, 33773

Signature of

Role Plan administrator
Date 2015-04-10
Name of individual signing RITA IWANSKI
Valid signature Filed with authorized/valid electronic signature
SURGCENTER PINELLAS, LLC 401K PLAN 2013 271372259 2014-05-21 SURGCENTER PINELLAS, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621498
Sponsor’s telephone number 7274085310
Plan sponsor’s address 12416 66TH STREET NORTH, LARGO, FL, 33773

Signature of

Role Plan administrator
Date 2014-05-21
Name of individual signing RITA IWANSKI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CT Corporation System Agent 1200 South Pine Island Road, Plantation, FL, 33324

President

Name Role Address
LeMaistre Collin President 14201 DALLAS PKWY, Dallas, TX, 75254

Secretary

Name Role Address
Bowden James Secretary 14201 DALLAS PKWY, Dallas, TX, 75254

Vice President

Name Role Address
Zinckgraf Eric Vice President 14201 DALLAS PKWY, Dallas, TX, 75254

Auth

Name Role Address
Sims Karen Auth 14201 DALLAS PKWY, Dallas, TX, 75254

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2021-04-06 12416 66TH STREET NORTH, SUITE D, LARGO, FL 33773 No data
REGISTERED AGENT NAME CHANGED 2021-04-06 CT Corporation System No data
REGISTERED AGENT ADDRESS CHANGED 2021-04-06 1200 South Pine Island Road, Plantation, FL 33324 No data
CHANGE OF PRINCIPAL ADDRESS 2011-02-22 12416 66TH STREET NORTH, SUITE D, LARGO, FL 33773 No data

Documents

Name Date
ANNUAL REPORT 2024-05-03
ANNUAL REPORT 2023-04-20
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-01-31
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-03-01
ANNUAL REPORT 2015-03-17

Date of last update: 03 Jan 2025

Sources: Florida Department of State