| Entity Name: | SURGICAL CENTER OF PONTE VEDRA BEACH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SURGICAL CENTER OF PONTE VEDRA BEACH, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 04 Sep 2014 (11 years ago) |
| Date of dissolution: | 23 Sep 2022 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (3 years ago) |
| Document Number: | L14000138175 |
| FEI/EIN Number |
47-2133947
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1030 A1A North, Ponte Vedra Beach, FL, 32082, US |
| Mail Address: | 1030 A1A North, Ponte Vedra Beach, FL, 32082, US |
| ZIP code: | 32082 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609269232 | 2015-03-06 | 2019-07-29 | 1030 A1A N, PONTE VEDRA BEACH, FL, 320824019, US | 1030 A1A N, PONTE VEDRA BEACH, FL, 320824019, US | |||||||||||||||||||
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| Phone | +1 907-285-1199 |
| Fax | 9072851197 |
Authorized person
| Name | KRYSTYN COLLIER |
| Role | MANAGER |
| Phone | 9042851199 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1215 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Schneider Timothy LMD | Manager | 1030 A1A North, Ponte Vedra Beach, FL, 32082 |
| Harris John BMD | Manager | 1030 A1A North, Ponte Vedra Beach, FL, 32082 |
| Collier Frank RMD | Manager | 1030 A1A North, Ponte Vedra Beach, FL, 32082 |
| Hakim Farid MD | Manager | 1030 A1A North, Ponte Vedra Beach, FL, 32082 |
| FARAH LAW | Agent | 6550 St. Augustine Road, Jacksonville, FL, 32217 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000107895 | PONTE VEDRA BEACH SURGERY CENTER | EXPIRED | 2014-10-24 | 2024-12-31 | - | 1030 A1A NORTH, PONTE VEDRA BEACH, FL, 32082 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-09-29 | FARAH LAW | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| LC STMNT OF AUTHORITY | 2019-10-21 | - | - |
| LC DISSOCIATION MEM | 2017-05-26 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-28 | 6550 St. Augustine Road, Suite 103, Jacksonville, FL 32217 | - |
| LC AMENDMENT | 2016-09-26 | - | - |
| CHANGE OF MAILING ADDRESS | 2015-02-13 | 1030 A1A North, Ponte Vedra Beach, FL 32082 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-02-13 | 1030 A1A North, Ponte Vedra Beach, FL 32082 | - |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2022-12-27 |
| ANNUAL REPORT | 2021-04-24 |
| ANNUAL REPORT | 2020-03-17 |
| CORLCAUTH | 2019-10-21 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-03-04 |
| CORLCDSMEM | 2017-05-26 |
| ANNUAL REPORT | 2017-04-28 |
| AMENDED ANNUAL REPORT | 2016-12-08 |
| LC Amendment | 2016-09-26 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7745587109 | 2020-04-14 | 0491 | PPP | 1030 A1A, PONTE VEDRA BEACH, FL, 32082-4019 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8993508510 | 2021-03-10 | 0491 | PPS | 1030 A1A N, Ponte Vedra Beach, FL, 32082-4019 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
