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  5. TRADITION SURGERY CENTER, LLC

TRADITION SURGERY CENTER, LLC

Company Details

Entity Name: TRADITION SURGERY CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Mar 2016 (9 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 17 Sep 2021 (3 years ago)
Document Number: L16000045812
FEI/EIN Number 36-4837780
Address: 10080 SW Innovation Way, Suite 101, Port Saint Lucie, FL, 34987, US
Mail Address: 10080 SW Innovation Way, Suite 101, Port Saint 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
1801343496 2016-09-01 2021-10-26 9131 ANSON WAY, SUITE 304, RALEIGH, NC, 276153266, US 10080 SW INNOVATION WAY STE 101, PORT ST LUCIE, FL, 349872129, US

Contacts
Phone +1 772-345-8700

Authorized person
Name ROBERT LORD
Role PRESIDENT
Phone 7722235058

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
TRADITION SURGERY CENTER LLC 401K 2023 364837780 2024-10-08 TRADITION SURGERY CENTER LLC 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621493
Sponsor’s telephone number 2164480277
Plan sponsor’s address 10080 INNOVATION WAY, STE 101, PORT SAINT LUCIE, FL, 34987

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing LYN AAL-MAGEE
Valid signature Filed with authorized/valid electronic signature
TRADITION SURGERY CENTER LLC 401K 2022 364837780 2023-10-13 TRADITION SURGERY CENTER LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621493
Sponsor’s telephone number 7723458700
Plan sponsor’s address 10080 INNOVATION WAY, STE 101, PORT SAINT LUCIE, FL, 34987

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing LYN AAL-MAGEE
Valid signature Filed with authorized/valid electronic signature
TRADITION SURGERY CENTER LLC 401K 2021 364837780 2022-05-26 TRADITION SURGERY CENTER LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621493
Sponsor’s telephone number 7723458700
Plan sponsor’s address 10080 INNOVATION WAY, STE 101, PORT SAINT LUCIE, FL, 34987

Signature of
Role Plan administrator
Date 2022-05-26
Name of individual signing MARGARITA JOHNSTON
Valid signature Filed with authorized/valid electronic signature
TRADITION SURGERY CENTER LLC 401K 2020 364837780 2021-06-22 TRADITION SURGERY CENTER LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621493
Sponsor’s telephone number 7723458700
Plan sponsor’s address 10080 INNOVATION WAY, STE 101, PORT SAINT LUCIE, FL, 34987

Signature of
Role Plan administrator
Date 2021-06-22
Name of individual signing MARGARITA JOHNSTON
Valid signature Filed with authorized/valid electronic signature
TRADITION SURGERY CENTER LLC 401K 2019 364837780 2022-04-14 TRADITION SURGERY CENTER LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621493
Sponsor’s telephone number 7723458700
Plan sponsor’s address 10080 INNOVATION WAY, STE 101, PORT SAINT LUCIE, FL, 34987

Signature of
Role Plan administrator
Date 2022-04-14
Name of individual signing MARGARITA JOHNSTON
Valid signature Filed with authorized/valid electronic signature
TRADITION SURGERY CENTER LLC 401K 2019 364837780 2021-02-26 TRADITION SURGERY CENTER LLC 18
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621493
Sponsor’s telephone number 7723458700
Plan sponsor’s address 10080 INNOVATION WAY, STE 101, PORT SAINT LUCIE, FL, 34987

Signature of
Role Plan administrator
Date 2021-02-26
Name of individual signing LAURIE WAMSLEY
Valid signature Filed with authorized/valid electronic signature
TRADITION SURGERY CENTER LLC 401K 2018 364837780 2019-06-19 TRADITION SURGERY CENTER LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621493
Sponsor’s telephone number 7723458700
Plan sponsor’s address 10080 INNOVATION WAY, STE 101, PORT SAINT LUCIE, FL, 34987

Signature of
Role Plan administrator
Date 2019-06-19
Name of individual signing JODI SANTINI
Valid signature Filed with authorized/valid electronic signature
TRADITION SURGERY CENTER LLC 401K 2017 364837780 2018-06-18 TRADITION SURGERY CENTER LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621493
Sponsor’s telephone number 9166900548
Plan sponsor’s address 10080 INNOVATION WAY, STE 101, PORT SAINT LUCIE, FL, 34987

Signature of
Role Plan administrator
Date 2018-06-18
Name of individual signing JODI SANTINI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324

Member

Name Role
MARTIN SURGICAL VENTURES, LLC Member

Events

Event Type Filed Date Value Description
LC AMENDMENT 2021-09-17 No data No data
REGISTERED AGENT NAME CHANGED 2021-09-17 CT CORPORATION SYSTEM No data
REGISTERED AGENT ADDRESS CHANGED 2021-09-17 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 No data
CHANGE OF PRINCIPAL ADDRESS 2018-03-19 10080 SW Innovation Way, Suite 101, Port Saint Lucie, FL 34987 No data
CHANGE OF MAILING ADDRESS 2018-03-19 10080 SW Innovation Way, Suite 101, Port Saint Lucie, FL 34987 No data

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-05-01
LC Amendment 2021-09-17
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-06-29
ANNUAL REPORT 2019-04-12
ANNUAL REPORT 2018-03-19
ANNUAL REPORT 2017-02-23
Florida Limited Liability 2016-08-07

Related by officers

CT CORPORATION SYSTEM

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Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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