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  5. SURGICAL CENTER OF NORTH FLORIDA, LLC

SURGICAL CENTER OF NORTH FLORIDA, LLC

Company Details

Entity Name: SURGICAL CENTER OF NORTH FLORIDA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 11 Sep 2013 (11 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 02 Oct 2014 (10 years ago)
Document Number: L13000128368
FEI/EIN Number 46-3936705
Address: 6520 N.W. 9th Blvd., Gainesville, FL 32605
Mail Address: 6520 N.W. 9th Blvd., Gainesville, FL 32605
ZIP code: 32605
County: Alachua
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891184826 2015-01-14 2015-01-14 6520 NW 9TH BLVD, GAINESVILLE, FL, 326054205, US 6520 NW 9TH BLVD, GAINESVILLE, FL, 326054205, US

Contacts
Phone +1 352-224-7800
Fax 3523312787

Authorized person
Name MS. ELISSE SEALS
Role VP REVENUE MANAGEMENT
Phone 4052857500

Taxonomy
Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
License Number 922
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SURGICAL CENTER OF NORTH FLORIDA, LLC 401(K) PLAN 2022 463936705 2023-05-25 SURGICAL CENTER OF NORTH FLORIDA, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-03-15
Business code 621610
Sponsor’s telephone number 3527457202
Plan sponsor’s address 6520 NW 9TH BLVD, GAINESVILLE, FL, 326054205

Signature of
Role Plan administrator
Date 2023-05-25
Name of individual signing DONALD SAPP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-25
Name of individual signing DONALD SAPP
Valid signature Filed with authorized/valid electronic signature
SURGICAL CENTER OF NORTH FLORIDA, LLC 401(K) PLAN 2021 463936705 2022-08-25 SURGICAL CENTER OF NORTH FLORIDA, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-03-15
Business code 621610
Sponsor’s telephone number 3527457202
Plan sponsor’s address 6520 NW 9TH BLVD, GAINESVILLE, FL, 326054205

Signature of
Role Plan administrator
Date 2022-08-25
Name of individual signing DONALD SAPP
Valid signature Filed with authorized/valid electronic signature
SURGICAL CENTER OF NORTH FLORIDA, LLC 401(K) PLAN 2020 463936705 2021-02-01 SURGICAL CENTER OF NORTH FLORIDA, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-03-15
Business code 621610
Sponsor’s telephone number 3527457202
Plan sponsor’s address 6520 NW 9TH BLVD, GAINESVILLE, FL, 326054205

Signature of
Role Plan administrator
Date 2021-02-01
Name of individual signing DONALD SAPP
Valid signature Filed with authorized/valid electronic signature
SURGICAL CENTER OF NORTH FLORIDA, LLC 2019 463936705 2020-11-09 SURGICAL CENTER OF NORTH FLORIDA, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-03-15
Business code 621610
Sponsor’s telephone number 3527457202
Plan sponsor’s DBA name SURGERY CENTER OF NORTH FLORIDA
Plan sponsor’s address 6520 NW 9TH BLVD, GAINESVILLE, FL, 326054205

Signature of
Role Plan administrator
Date 2020-11-09
Name of individual signing DONALD SAPP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-11-09
Name of individual signing DONALD SAPP
Valid signature Filed with authorized/valid electronic signature
SURGICAL CENTER OF NORTH FLORIDA, LLC 401(K) PLAN 2018 463936705 2019-09-16 SURGICAL CENTER OF NORTH FLORIDA, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-03-15
Business code 621610
Sponsor’s telephone number 3527457202
Plan sponsor’s address 6520 NW 9TH BLVD, GAINESVILLE, FL, 326054205

Signature of
Role Plan administrator
Date 2019-09-16
Name of individual signing RACHELLE LINVILLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-16
Name of individual signing RACHELLE LINVILLE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Locay, Harold R, Dr. Agent 6520 NW 9th BLVD, Gainesville, FL 32605

Manager

Name Role Address
Locay, Harold Manager 362 SW 131 St, Newberry, FL 32669
Bailey, Gregory J Manager 6520 NW 9th Blvd., Gainesville, FL 32605

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000113656 SURGERY CENTER OF NORTH FLORIDA EXPIRED 2014-11-11 2024-12-31 No data 6520 NW 9TH BLVD., GAINESVILLE, FL, 32605

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2018-01-29 Locay, Harold R, Dr. No data
REGISTERED AGENT ADDRESS CHANGED 2018-01-29 6520 NW 9th BLVD, Gainesville, FL 32605 No data
CHANGE OF MAILING ADDRESS 2017-08-08 6520 N.W. 9th Blvd., Gainesville, FL 32605 No data
CHANGE OF PRINCIPAL ADDRESS 2016-10-03 6520 N.W. 9th Blvd., Gainesville, FL 32605 No data
REINSTATEMENT 2014-10-02 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-04-05
ANNUAL REPORT 2022-04-04
ANNUAL REPORT 2021-03-11
ANNUAL REPORT 2020-03-31
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-01-29
AMENDED ANNUAL REPORT 2017-08-08
ANNUAL REPORT 2017-01-11
AMENDED ANNUAL REPORT 2016-11-30

Related by officers

Locay, Harold

OCALA SOUTH DIALYSIS LLC WPPP LLC CLOCKTOWER JV, LLC NFSC INVESTORS, LLC

Bailey, Gregory J

NFSC INVESTORS, LLC

Related by address

No related companies by address

Date of last update: 22 Jan 2025

Sources: Florida Department of State

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