| Entity Name: | SURGERY CENTER ON 27 LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 May 2016 (9 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 21 Aug 2017 (7 years ago) |
| Document Number: | L16000097389 |
| FEI/EIN Number | 81-2733475 |
| Mail Address: | 4759 LAKEVIEW DRIVE, SEBRING, FL 33870 |
| Address: | 7405 US 27 N, SEBRING, FL 33870 |
| ZIP code: | 33870 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982268322 | 2019-04-30 | 2024-04-08 | 4759 LAKEVIEW DR, SEBRING, FL, 338702005, US | 7405 US HIGHWAY 27 N, SEBRING, FL, 338701030, US | |||||||||||||
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| Phone | +1 863-658-0496 |
Authorized person
| Name | DEANNA FOTHERINGHAM |
| Role | MGR/AUTHORIZED OFFICIAL |
| Phone | 8632537928 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| lackey, thomas carroll | Agent | 4759 LAKEVIEW DRIVE, SEBRING, FL 33870 |
| Name | Role | Address |
|---|---|---|
| Lackey, Thomas | Manager | 4759 LAKEVIEW DRIVE, SEBRING, FL 33870 |
| Ahmadi, Bahram | Manager | 4759 LAKEVIEW DRIVE, SEBRING, FL 33870 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-03 | 7405 US 27 N, SEBRING, FL 33870 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-01-18 | lackey, thomas carroll | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-18 | 4759 LAKEVIEW DRIVE, SEBRING, FL 33870 | No data |
| LC AMENDMENT | 2017-08-21 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-27 | 7405 US 27 N, SEBRING, FL 33870 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-02-04 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-04-11 |
| LC Amendment | 2017-08-21 |
| ANNUAL REPORT | 2017-03-27 |
| Florida Limited Liability | 2016-05-20 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
