| Entity Name: | OPHTHALMOLOGY SURGERY CENTER OF ORLANDO, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 31 Oct 2016 (8 years ago) |
| Document Number: | L16000199050 |
| FEI/EIN Number | 81-4378043 |
| Mail Address: | 14201 Dallas Parkway, Dallas, TX 75254 |
| Address: | 105 BONNIE LOCH COURT, ORLANDO, FL 32806 |
| ZIP code: | 32806 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811433410 | 2017-01-06 | 2024-09-17 | 105 BONNIE LOCH, ORLANDO, FL, 328064637, US | 105 BONNIE LOCH CT, ORLANDO, FL, 328062909, US | |||||||||||||||||
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| Phone | +1 407-420-0040 |
| Fax | 4074280045 |
| Phone | +1 407-428-0040 |
Authorized person
| Name | JENETHA MORAN |
| Role | AUTHORIZED OFFICIAL |
| Phone | 9727633893 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Sims, Karen | Authorized Representative | 14201 Dallas Parkway, Dallas, TX 75254 |
| Name | Role | Address |
|---|---|---|
| LeMaistre, Collin | President | 14201 DALLAS PKWY, FL 13 Dallas, TX 75254 |
| Name | Role | Address |
|---|---|---|
| Bradstreet, Erin | Vice President | 14201 Dallas Parkway, Dallas, TX 75254 |
| Name | Role | Address |
|---|---|---|
| ORLANDO HEALTH/USP SURGERY CENTERS, LLC | Authorized Member | 14201 Dallas Parkway, Dallas, TX 75254 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000110622 | ORLANDO OPHTHALMOLOGY SURGERY CENTER | ACTIVE | 2023-09-11 | 2028-12-31 | No data | 14201 DALLAS PKWY, FL 13, DALLAS, TX, 75254 |
| G17000004917 | ORLANDO OPHTHALMOLOGY SURGERY CENTER | EXPIRED | 2017-01-13 | 2022-12-31 | No data | SUITE 1600, ADDISON, TX, 75001 |
| G17000004508 | OPHTHALMOLOGY SURGERY CENTER OF ORLANDO | ACTIVE | 2017-01-12 | 2027-12-31 | No data | 14201 DALLAS PKWY, FL 13, DALLAS, TX, 75254 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-06-20 | 105 BONNIE LOCH COURT, ORLANDO, FL 32806 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-02 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-03-05 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-06-20 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-01-08 |
| ANNUAL REPORT | 2017-03-30 |
| Florida Limited Liability | 2016-10-31 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
