| Entity Name: | ADVANCED SURGERY CENTER OF TAMPA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Aug 2013 (11 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 29 Sep 2017 (7 years ago) |
| Document Number: | L13000122583 |
| FEI/EIN Number | 46-3891843 |
| Mail Address: | 14201 DALLAS PKWY, FL 13, Dallas, TX, 75254, US |
| Address: | 1881 WEST KENNEDY BLVD, TAMPA, FL, 33606, US |
| ZIP code: | 33606 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881013142 | 2014-04-15 | 2024-09-10 | 1881 W KENNEDY BLVD, SUITE C, TAMPA, FL, 336061606, US | 1881 W KENNEDY BLVD, SUITE C, TAMPA, FL, 336061606, US | |||||||||||||||
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| Phone | +1 813-693-5000 |
| Fax | 8136935001 |
Authorized person
| Name | COLLIN LEMAISTRE |
| Role | OFFICER/AUTHORIZED OFFICIAL |
| Phone | 4692503640 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVANCED SURGERY CENTER OF TAMPA, LLC 401(K) PLAN | 2021 | 463891843 | 2022-10-14 | ADVANCED SURGERY CENTER OF TAMPA, LLC | 28 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2022-10-14 |
| Name of individual signing | KARRI JOHNSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 621493 |
| Sponsor’s telephone number | 8136935000 |
| Plan sponsor’s address | 1881 W KENNEDY BLVD, TAMPA, FL, 33606 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-08 |
| Name of individual signing | KARRI JOHNSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 621493 |
| Sponsor’s telephone number | 8136935000 |
| Plan sponsor’s address | 1881 W KENNEDY BLVD, TAMPA, FL, 33606 |
Signature of
| Role | Plan administrator |
| Date | 2020-08-31 |
| Name of individual signing | KARRI JOHNSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 621493 |
| Sponsor’s telephone number | 8136935000 |
| Plan sponsor’s address | 1881 W KENNEDY BLVD, TAMPA, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| CT Corporation System | Agent | 1200 S Pine Island, Plantation, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| LeMaistre Collin AJR | President | 14201 DALLAS PKWY, Dallas, TX, 75254 |
| Name | Role | Address |
|---|---|---|
| Markford Chris | Vice President | 14201 DALLAS PKWY, Dallas, TX, 75254 |
| Name | Role | Address |
|---|---|---|
| Morris Owen | Treasurer | 14201 DALLAS PKWY, DALLAS, TX, 75254 |
| Name | Role | Address |
|---|---|---|
| Bowden James JR | Secretary | 14201 DALLAS PKWY, Dallas, TX, 75254 |
| Name | Role | Address |
|---|---|---|
| Sims Karen | Auth | 14201 DALLAS PKWY, Dallas, TX, 75254 |
| Name | Role | Address |
|---|---|---|
| Johnson Karri A | Admi | 1881 W Kennedy Blvd, Tampa, FL, 33606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-05-03 | 1200 S Pine Island, Plantation, FL 33324 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-05-03 | CT Corporation System | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-18 | 1881 WEST KENNEDY BLVD, TAMPA, FL 33606 | No data |
| REINSTATEMENT | 2017-09-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| LC AMENDMENT | 2014-06-09 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-19 | 1881 WEST KENNEDY BLVD, TAMPA, FL 33606 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J21000656136 | TERMINATED | 1000000910693 | HILLSBOROU | 2021-12-17 | 2041-12-22 | $ 1,177.81 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
| J21000656151 | TERMINATED | 1000000910695 | HILLSBOROU | 2021-12-17 | 2031-12-22 | $ 10,503.69 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-12 |
| AMENDED ANNUAL REPORT | 2023-05-03 |
| ANNUAL REPORT | 2023-01-05 |
| ANNUAL REPORT | 2022-01-18 |
| ANNUAL REPORT | 2021-01-04 |
| ANNUAL REPORT | 2020-01-06 |
| ANNUAL REPORT | 2019-01-04 |
| ANNUAL REPORT | 2018-09-04 |
| REINSTATEMENT | 2017-09-29 |
| ANNUAL REPORT | 2016-01-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
