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  5. SURGCENTER NORTHEAST LLC

SURGCENTER NORTHEAST LLC

Company Details

Entity Name: SURGCENTER NORTHEAST LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 04 May 2012 (13 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 27 Sep 2017 (7 years ago)
Document Number: L12000060631
FEI/EIN Number 45-5554995
Mail Address: 14201 Dallas Pkwy, Dallas, TX, 75254, US
Address: 2438 Dr. Martin Luther King Jr Street Nort, Suite C, St. Petersburg, FL, 33704, US
ZIP code: 33704
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649515354 2012-12-06 2024-09-10 2438 DR. MARTIN LUTHER KING JR STREET NORTH, SUITE C, ST PETERSBURG, FL, 33704, US 2438 DR. MARTIN LUTHER KING JR STREET NORTH SUITE C, ST PETERSBURG, FL, 33704, US

Contacts
Phone +1 727-543-9204

Authorized person
Name COLLIN LEMAISTRE
Role OFFICER/AUTHORIZED OFFICIAL
Phone 4692503640

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 NORTHEAST, LLC (401)K PLAN 2020 455554995 2021-05-04 SURGCENTER NORTHEAST, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-08-01
Business code 621498
Sponsor’s telephone number 7275650740
Plan sponsor’s address 2438 DR MARTIN LUTHER KING JR, ST N STE C, SAINT PETERSBURG, FL, 337042750

Signature of
Role Plan administrator
Date 2021-05-04
Name of individual signing STEPHANY SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-04
Name of individual signing STEPHANY SMITH
Valid signature Filed with authorized/valid electronic signature
SURGCENTER NORTHEAST, LLC (401)K PLAN 2019 455554995 2020-06-10 SURGCENTER NORTHEAST, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-08-01
Business code 621498
Sponsor’s telephone number 7275650740
Plan sponsor’s address 2438 DR MARTIN LUTHER KING JR, ST N STE C, SAINT PETERSBURG, FL, 337042750

Signature of
Role Plan administrator
Date 2020-06-10
Name of individual signing JAMES DILLARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-10
Name of individual signing JAMES DILLARD
Valid signature Filed with authorized/valid electronic signature
SURGCENTER NORTHEAST, LLC (401)K PLAN 2018 455554995 2019-05-01 SURGCENTER NORTHEAST, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-08-01
Business code 621498
Sponsor’s telephone number 7275650740
Plan sponsor’s address 2438 DR MARTIN LUTHER KING JR, ST N STE C, SAINT PETERSBURG, FL, 337042750

Signature of
Role Plan administrator
Date 2019-05-01
Name of individual signing SANDY COVERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-29
Name of individual signing JAMES DILLARD
Valid signature Filed with authorized/valid electronic signature
SURGCENTER NORTHEAST, LLC (401)K PLAN 2017 455554995 2018-05-13 SURGCENTER NORTHEAST, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-08-01
Business code 621498
Sponsor’s telephone number 7275650740
Plan sponsor’s address 2438 DR MARTIN LUTHER KING JR, ST N STE C, SAINT PETERSBURG, FL, 337042750

Signature of
Role Plan administrator
Date 2018-05-13
Name of individual signing SANDY COVERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-13
Name of individual signing SANDY COVERT
Valid signature Filed with authorized/valid electronic signature
SURGCENTER NORTHEAST, LLC (401)K PLAN 2016 455554995 2017-05-13 SURGCENTER NORTHEAST, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-08-01
Business code 621498
Sponsor’s telephone number 7275650740
Plan sponsor’s address 2438 DR MARTIN LUTHER KING JR, ST N STE C, SAINT PETERSBURG, FL, 337042750

Signature of
Role Plan administrator
Date 2017-05-13
Name of individual signing JAMES DILLARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-13
Name of individual signing JAMES DILLARD
Valid signature Filed with authorized/valid electronic signature
SURGCENTER NORTHEAST, LLC (401)K PLAN 2015 455554995 2016-07-28 SURGCENTER NORTHEAST, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-08-01
Business code 621498
Sponsor’s telephone number 7275650740
Plan sponsor’s address 2438 DR MARTIN LUTHER KING JR, ST N STE C, SAINT PETERSBURG, FL, 337042750

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing JAMES DILLARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-28
Name of individual signing JAMES DILLARD
Valid signature Filed with authorized/valid electronic signature

Agent

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

Secretary

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

President

Name Role Address
LeMaistre Collin President 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

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000152432 FLORIDA ORTHOPAEDIC INSTITUTE SURGERY CENTER ACTIVE 2024-12-16 2029-12-31 No data 5901 E. FOWLER AVE., TEMPLE TERRACE, FL, 33617

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-04-20 2438 Dr. Martin Luther King Jr Street North, Suite C, St. Petersburg, FL 33704 No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-20 1200 South Pine Island Road, Plantation, FL 33324 No data
REGISTERED AGENT NAME CHANGED 2021-04-06 CT Corporation No data
REINSTATEMENT 2017-09-27 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 2013-02-19 2438 Dr. Martin Luther King Jr Street North, Suite C, St. Petersburg, FL 33704 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 2020-02-03
ANNUAL REPORT 2019-04-17
ANNUAL REPORT 2018-03-13
REINSTATEMENT 2017-09-27
ANNUAL REPORT 2016-02-22
ANNUAL REPORT 2015-01-07

Related by officers

Bowden James

SURGERY CENTER OF PEMBROKE PINES, L.L.C. TITUSVILLE CENTER FOR SURGICAL EXCELLENCE, LLC MURDOCK AMBULATORY SURGERY CENTER, LLC SURGCENTER PINELLAS, LLC SURGERY CENTRE OF SW FLORIDA, LLC SPECIALTY SURGICENTERS, INC. TITAN HEALTH OF TITUSVILLE, INC. NATIONAL SURGERY CENTER HOLDINGS, INC. TAMARAC SURGERY CENTER, LLC USP DESTIN, INC.

LeMaistre Collin

TITUSVILLE CENTER FOR SURGICAL EXCELLENCE, LLC SURGCENTER PINELLAS, LLC SURGERY CENTRE OF SW FLORIDA, LLC SPECIALTY SURGICENTERS, INC. TITAN HEALTH OF TITUSVILLE, INC. SURGERY CENTER OF CORAL GABLES, LLC CHARLOTTE ENDOSCOPIC SURGERY CENTER, LLC

Zinckgraf Eric

SURGCENTER PINELLAS, LLC

Sims Karen

DESTIN SURGERY CENTER, LLC TITUSVILLE CENTER FOR SURGICAL EXCELLENCE, LLC SURGCENTER PINELLAS, LLC THE WHISPERING LAKE HOMEOWNERS' ASSOCIATION, INC. SURGERY CENTRE OF SW FLORIDA, LLC SPECIALTY SURGICENTERS, INC. TITAN HEALTH OF TITUSVILLE, INC. NATIONAL SURGERY CENTER HOLDINGS, INC. USP DESTIN, INC. USP WINTER PARK, INC.

CT Corporation

ZOM FOXCROFT GP, LLC ZOM MONTERRA GP, LLC NRP MANAGEMENT LLC NRP FLORIDA DEVELOPMENT, LLC NRP MAGNOLIA GARDENS, LLC ACADIAN MONITORING SERVICES, L.L.C. GALLOWAY ANESTHESIA ASSOCIATES, LLC BBI GROUP, LLC M & M SERVICES GROUP SOUTH LLC NRP STENSTROM, LLC

Related by address

14201 Dallas Pkwy, Dallas, TX, 75254, US

TENET PHYSICIAN RESOURCES, LLC HEALTHCARE SMG I, LLC HEALTHCARE SMG IV, LLC HEALTHCARE SMG II, LLC ADVANTAGE HEALTH NETWORK, INC. DMC IMAGING, L.L.C. TENET FLORIDA PHYSICIAN SERVICES II, L.L.C. INTERNATIONAL HEALTH AND WELLNESS, INC. LIFEMARK HOSPITALS OF FLORIDA, INC.

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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