Search icon

THE SURGERY CENTER AT TGH BRANDON HEALTHPLEX, LLC - Florida Company Profile

Company Details

Entity Name: THE SURGERY CENTER AT TGH BRANDON HEALTHPLEX, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

THE SURGERY CENTER AT TGH BRANDON HEALTHPLEX, 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: 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

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 10740 PALM RIVER RD, TAMPA, FL, 33619, US
Mail Address: 10740 PALM RIVER RD, TAMPA, FL, 33619, US
ZIP code: 33619
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

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

Contacts

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

Central Index Key

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

Filings since 2017-10-24

Form type D
File number 021-297330
Filing date 2017-10-24
File View File

Key Officers & Management

Name Role Address
BUKKAPATNAM RAVIENDER MD Vice President 1 TAMPA GENERAL CIRCLE, TAMPA, FL, 33606
SMITH ADAM President 10740 PALM RIVER RD, TAMPA, FL, 33619
LOKENAUTH LIJAH Treasurer 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
CF REGISTERED AGENT, INC. Agent -

Fictitious Names

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 - 10740 PALM RIVER RD, TAMPA, FL, 33619
G23000080606 OUTPATIENT SURGERY CENTER AT TGH BRANDON HEALTHPLEX ACTIVE 2023-07-07 2028-12-31 - 10740 PALM RIVER ROAD, SUITE 200, TAMPA, FL, 33619
G16000111097 OUTPATIENT SURGERY CENTER AT TGH BRANDON HEALTHPLEX EXPIRED 2016-10-12 2021-12-31 - 10740 PALM RIVER ROAD, SUITE 200, TAMPA, FL, 33619

Events

Event Type Filed Date Value Description
MERGER 2019-05-31 - 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 - -
CHANGE OF PRINCIPAL ADDRESS 2018-10-22 10740 PALM RIVER RD, TAMPA, FL 33619 -
CHANGE OF MAILING ADDRESS 2018-10-22 10740 PALM RIVER RD, TAMPA, FL 33619 -
REGISTERED AGENT NAME CHANGED 2018-10-22 CF REGISTERED AGENT, INC. -
REGISTERED AGENT ADDRESS CHANGED 2018-10-22 100 S ASHLEY DR, SUITE 400, TAMPA, FL 33602 -

Documents

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

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P3208007 THE SURGERY CENTER AT TGH BRANDON HEALTHPLEX, LLC THE SURGERY CENTER AT TGH BRANDON P5NJZ1VLLA69 10740 PALM RIVER RD, STE 210, TAMPA, FL, 33619-4574
Capabilities Statement Link -
Phone Number 727-831-9617
Fax Number -
E-mail Address lackley@tgh.org
WWW Page -
E-Commerce Website -
Contact Person LEANN ACKLEY
County Code (3 digit) 057
Congressional District 16
Metropolitan Statistical Area 8280
CAGE Code 9R0X6
Year Established 2019
Accepts Government Credit Card Yes
Legal Structure LLC
Ownership and Self-Certifications -
Business Development Servicing Office SOUTH FLORIDA DISTRICT OFFICE (SBA office code 0455)
Capabilities Narrative (none given)
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords (none given)
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

SBA Federal Certifications

HUBZone Certified No
Women Owned Certified No
Women Owned Pending No
Economically Disadvantaged Women Owned Certified No
Economically Disadvantaged Women Owned Pending No
Veteran-Owned Small Business Certified No
Veteran-Owned Small Business Joint Venture No
Service-Disabled Veteran-Owned Small Business Certified No
Service-Disabled Veteran-Owned Small Business Joint Venture No

Bonding Levels

Description Construction Bonding Level (per contract)
Level (none given)
Description Construction Bonding Level (aggregate)
Level (none given)
Description Service Bonding Level (per contract)
Level (none given)
Description Service Bonding Level (aggregate)
Level (none given)

NAICS Codes with Size Determinations by NAICS

Primary Yes
Code 621493
NAICS Code's Description Freestanding Ambulatory Surgical and Emergency Centers
Buy Green Yes

Export Profile (Trade Mission Online)

Exporter Firm hasn't answered this question yet
Export Business Activities (none given)
Exporting to (none given)
Desired Export Business Relationships (none given)
Description of Export Objective(s) (none given)

Date of last update: 01 Apr 2025

Sources: Florida Department of State