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  5. SURGCENTER OF ST. LUCIE, LLC

SURGCENTER OF ST. LUCIE, LLC - Florida Company Profile

Company Details

Entity Name: SURGCENTER OF ST. LUCIE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SURGCENTER OF ST. LUCIE, 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 18 Sep 2015 (9 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 27 Oct 2016 (8 years ago)
Document Number: L15000159503
FEI/EIN Number 47-5425011

Federal Employer Identification (FEI) Number assigned by the IRS.
Mail Address: 14201 DALLAS PKWY, FL 13, Dallas, TX, 75254, US
Address: 10521 Southwest Village Center Dr, Suite 104, Port St Lucie, FL, 34987, US
ZIP code: 34987
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053764779 2016-07-18 2024-10-04 10521 SW VILLAGE CENTER DR, SUITE 104, PORT ST LUCIE, FL, 349871930, US 10521 SW VILLAGE CENTER DR, SUITE 104, PORT ST LUCIE, FL, 349871930, US

Contacts
Phone +1 772-345-8600

Authorized person
Name COLLIN LEMASTRIE
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 OF ST. LUCIE, LLC 401(K) 2023 475425011 2024-07-23 SURGCENTER OF ST. LUCIE, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 621493
Sponsor’s telephone number 7723458600
Plan sponsor’s address 10521 SW VILLAGE CENTER DR. #104, PORT ST LUCIE, FL, 34987

Signature of
Role Plan administrator
Date 2024-07-23
Name of individual signing LAURA BUTRICK
Valid signature Filed with authorized/valid electronic signature
SURGCENTER OF ST. LUCIE, LLC 401(K) 2022 475425011 2023-07-19 SURGCENTER OF ST. LUCIE, LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 621493
Sponsor’s telephone number 7723458600
Plan sponsor’s address 10521 SW VILLAGE CENTER DR. #104, PORT ST LUCIE, FL, 34987

Signature of
Role Plan administrator
Date 2023-07-19
Name of individual signing DEENA DOOLEY
Valid signature Filed with authorized/valid electronic signature
SURGCENTER OF ST. LUCIE, LLC 401(K) 2021 475425011 2022-07-05 SURGCENTER OF ST. LUCIE, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 621493
Sponsor’s telephone number 7723458600
Plan sponsor’s address 10521 SW VILLAGE CENTER DR. #104, PORT ST LUCIE, FL, 34987

Signature of
Role Plan administrator
Date 2022-07-05
Name of individual signing DEENA DOOLEY
Valid signature Filed with authorized/valid electronic signature
SURGCENTER OF ST. LUCIE, LLC 401(K) 2020 475425011 2021-07-09 SURGCENTER OF ST. LUCIE, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 621493
Sponsor’s telephone number 7723458600
Plan sponsor’s address 10521 SW VILLAGE CENTER DR. #104, PORT ST LUCIE, FL, 34987

Signature of
Role Plan administrator
Date 2021-07-09
Name of individual signing DEENA DOOLEY
Valid signature Filed with authorized/valid electronic signature
SURGCENTER OF ST. LUCIE, LLC 401(K) 2019 475425011 2020-10-01 SURGCENTER OF ST. LUCIE, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 621493
Sponsor’s telephone number 7723458600
Plan sponsor’s address 10521 SW VILLAGE CENTER DR. #104, PORT ST LUCIE, FL, 34987

Signature of
Role Plan administrator
Date 2020-10-01
Name of individual signing DEENA DOOLEY
Valid signature Filed with authorized/valid electronic signature
SURGCENTER OF ST. LUCIE, LLC 401(K) 2018 475425011 2019-10-14 SURGCENTER OF ST. LUCIE, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 621493
Sponsor’s telephone number 7723458600
Plan sponsor’s address 10521 SW VILLAGE CENTER DR. #104, PORT ST LUCIE, FL, 34987

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing LAURIE WAMSLEY
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
CT Corporation System Agent 1200 S Pine Island, Plantation, FL, 33324
LeMaistre Collin USPI Ma Manager 10521 Southwest Village Center Dr, Port St Lucie, FL, 34987
Bowden James Secretary 14201 DALLAS PKWY, Dallas, TX, 75254
Farrington Pam Dr. Vice President 14201 DALLAS PKWY, Dallas, TX, 75254
Sims Karen USPI Ma Auth 14201 DALLAS PKWY, Dallas, TX, 75254

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-05-09 10521 Southwest Village Center Dr, Suite 104, Port St Lucie, FL 34987 -
REGISTERED AGENT NAME CHANGED 2023-05-09 CT Corporation System -
REGISTERED AGENT ADDRESS CHANGED 2023-05-09 1200 S Pine Island, Plantation, FL 33324 -
REINSTATEMENT 2016-10-27 - -
CHANGE OF PRINCIPAL ADDRESS 2016-10-27 10521 Southwest Village Center Dr, Suite 104, Port St Lucie, FL 34987 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -

Documents

Name Date
ANNUAL REPORT 2024-05-03
AMENDED ANNUAL REPORT 2023-05-09
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-04-06
ANNUAL REPORT 2021-03-12
ANNUAL REPORT 2020-04-10
ANNUAL REPORT 2019-06-13
ANNUAL REPORT 2018-04-19
ANNUAL REPORT 2017-01-27
REINSTATEMENT 2016-10-27

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2486787101 2020-04-10 0455 PPP 10521 SW Village Center Dr. STE 104, PORT SAINT LUCIE, FL, 34987-1909
Loan Status Date 2021-07-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 235547
Loan Approval Amount (current) 235547
Undisbursed Amount 0
Franchise Name -
Lender Location ID 21299
Servicing Lender Name Midland States Bank
Servicing Lender Address 110 S. 5th St, EFFINGHAM, IL, 62401-2453
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PORT SAINT LUCIE, SAINT LUCIE, FL, 34987-1909
Project Congressional District FL-21
Number of Employees 39
NAICS code 621493
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 21299
Originating Lender Name Midland States Bank
Originating Lender Address EFFINGHAM, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 238257.4
Forgiveness Paid Date 2021-06-11

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Bowden James

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Companies related by address

14201 DALLAS PKWY, FL 13, Dallas, TX, 75254, US

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Date of last update: 01 Mar 2025

Sources: Florida Department of State

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