| Entity Name: | THE SURGERY CENTER AT TGH BRANDON HEALTHPLEX, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 Jun 2016 (9 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 31 May 2019 (6 years ago) |
| Document Number: | L16000110153 |
| FEI/EIN Number | 61-1795393 |
| Address: | 10740 PALM RIVER RD, TAMPA, FL 33619 |
| Mail Address: | 10740 PALM RIVER RD, TAMPA, FL 33619 |
| ZIP code: | 33619 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962953018 | 2016-10-24 | 2023-04-24 | 10740 PALM RIVER RD, STE 210, TAMPA, FL, 336194572, US | 10740 PALM RIVER RD, STE 210, TAMPA, FL, 336194572, US | |||||||||||||
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| Phone | +1 813-660-6600 |
Authorized person
| Name | ADAM SMITH |
| Role | EVP CHIEF AMBULATORY OFFICER |
| Phone | 8138448034 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| CIK number | Mailing Address | Business Address | Phone | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720628 | 10740 PALM RIVER ROAD, SUITE 200, TAMPA, FL, 33609 | 10740 PALM RIVER ROAD, SUITE 200, TAMPA, FL, 33609 | 813-660-6600 | |||||||||
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| Form type | D |
| File number | 021-297330 |
| Filing date | 2017-10-24 |
| File | View File |
| Name | Role |
|---|---|
| CF REGISTERED AGENT, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| BUKKAPATNAM, RAVIENDER, MD | Vice President | 1 TAMPA GENERAL CIRCLE, TAMPA, FL 33606 |
| Name | Role | Address |
|---|---|---|
| BUKKAPATNAM, RAVIENDER, MD | Secretary | 1 TAMPA GENERAL CIRCLE, TAMPA, FL 33606 |
| Name | Role | Address |
|---|---|---|
| BUKKAPATNAM, RAVIENDER, MD | Director | 1 TAMPA GENERAL CIRCLE, TAMPA, FL 33606 |
| SMITH, ADAM | Director | 10740 PALM RIVER RD, TAMPA, FL 33619 |
| LOKENAUTH, LIJAH | Director | 1 TAMPA GENERAL CIRCLE, TAMPA, FL 33606 |
| ROOT, MALCOLM, MD | Director | 1 TAMPA GENERAL CIRCLE, TAMPA, FL 33606 |
| PANCHAMIA, SIDHARTH, MD | Director | 1 TAMPA GENERAL CIRCLE, TAMPA, FL 33606 |
| Name | Role | Address |
|---|---|---|
| SMITH, ADAM | President | 10740 PALM RIVER RD, TAMPA, FL 33619 |
| Name | Role | Address |
|---|---|---|
| SMITH, ADAM | Chairman | 10740 PALM RIVER RD, TAMPA, FL 33619 |
| Name | Role | Address |
|---|---|---|
| LOKENAUTH, LIJAH | Treasurer | 1 TAMPA GENERAL CIRCLE, TAMPA, FL 33606 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000056253 | TGH SURGERY CENTER BRANDON | ACTIVE | 2024-04-29 | 2029-12-31 | No data | 10740 PALM RIVER RD, TAMPA, FL, 33619 |
| G23000080606 | OUTPATIENT SURGERY CENTER AT TGH BRANDON HEALTHPLEX | ACTIVE | 2023-07-07 | 2028-12-31 | No data | 10740 PALM RIVER ROAD, SUITE 200, TAMPA, FL, 33619 |
| G16000111097 | OUTPATIENT SURGERY CENTER AT TGH BRANDON HEALTHPLEX | EXPIRED | 2016-10-12 | 2021-12-31 | No data | 10740 PALM RIVER ROAD, SUITE 200, TAMPA, FL, 33619 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2019-05-31 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 500000193325 |
| LC STMNT OF RA/RO CHG | 2018-10-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-10-22 | 10740 PALM RIVER RD, TAMPA, FL 33619 | No data |
| CHANGE OF MAILING ADDRESS | 2018-10-22 | 10740 PALM RIVER RD, TAMPA, FL 33619 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-10-22 | CF REGISTERED AGENT, INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-10-22 | 100 S ASHLEY DR, SUITE 400, TAMPA, FL 33602 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-02-26 |
| Merger | 2019-05-31 |
| ANNUAL REPORT | 2019-02-07 |
| CORLCRACHG | 2018-10-22 |
| ANNUAL REPORT | 2018-04-18 |
| ANNUAL REPORT | 2017-01-19 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
