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SURGCENTER OF ORANGE PARK LLC

Company Details

Entity Name: SURGCENTER OF ORANGE PARK LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 15 Aug 2012 (12 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 11 Jan 2023 (2 years ago)
Document Number: L12000104846
FEI/EIN Number 46-0858710
Mail Address: 14201 Dallas Pkwy, Fl 13, Dallas, TX 75254
Address: 805 Wells Rd, Floor 1, ORANGE PARK, FL 32073
ZIP code: 32073
County: Clay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821342858 2012-10-29 2024-09-13 805 WELLS RD FL 1, ORANGE PARK, FL, 320732301, US 805 WELLS RD FL 1, ORANGE PARK, FL, 320732301, US

Contacts

Phone +1 904-643-3326
Fax 9045929726

Authorized person

Name COLLIN LEMAISTRE
Role OFFICER/AUTHORIZED OFFICIAL
Phone 2142130723

Taxonomy

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

Agent

Name Role
C T CORPORATION SYSTEM Agent

Manager

Name Role Address
BRESSMAN, SARA Manager 1465 Kingsley Ave, Suite 1201 Orange Park, FL 32073

Authorized Representative

Name Role Address
Arguijo, Callie, RVP Authorized Representative 1465 Kingsley Ave, Suite #1201 Orange Park, FL 32073
Sims, Karen Authorized Representative 14201 Dallas Pkwy, Fl 13 Dallas, TX 75254

Administrator

Name Role Address
Gathings, Sallie Administrator 1465 KINGSLEY AVENUE, SUITE 1201 ORANGE PARK, FL 32073

President

Name Role Address
LeMaistre, Collin President 805 Wells Rd, Floor 1, ORANGE PARK, FL 32073

Vice President

Name Role Address
Bradstreet, Erin Vice President 805 Wells Rd, Floor 1, ORANGE PARK, FL 32073

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000033755 ORANGE PARK ENDOSCOPY CENTER ACTIVE 2023-03-14 2028-12-31 No data 14201 DALLAS PKWY FL 13, DALLAS, TX, 75254

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-02-12 805 Wells Rd, Floor 1, ORANGE PARK, FL 32073 No data
CHANGE OF PRINCIPAL ADDRESS 2023-07-05 805 Wells Rd, Floor 1, ORANGE PARK, FL 32073 No data
LC STMNT OF RA/RO CHG 2023-01-11 No data No data
REGISTERED AGENT NAME CHANGED 2023-01-11 C T CORPORATION SYSTEM No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-11 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 No data

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-01-30
CORLCRACHG 2023-01-11
ANNUAL REPORT 2022-04-05
ANNUAL REPORT 2021-01-25
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-04-02
ANNUAL REPORT 2017-03-17
ANNUAL REPORT 2016-02-16

Date of last update: 23 Jan 2025

Sources: Florida Department of State