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MERRITT ISLAND OUTPATIENT SURGERY CENTER, LLC - Florida Company Profile

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Company Details

Entity Name: MERRITT ISLAND OUTPATIENT SURGERY CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 24 Apr 2017 (8 years ago)
Document Number: L17000090965
FEI/EIN Number 82-1391712
Mail Address: 501 N. Reo Street, Tampa, FL, 33609, US
Address: 450 E Merritt Island Causeway, Merritt Island, FL, 32952, US
ZIP code: 32952
City: Merritt Island
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Helms Josh Chief Executive Officer 501 N. Reo Street, Tampa, FL, 33609
Gari Tracie Chief Administrative Officer 501 N. Reo Street, Tampa, FL, 33609
Wood David L Agent 501 N. Reo Street, Tampa, FL, 33609

Unique Entity ID

Unique Entity ID:
H65RZF2DGVN1
UEI Expiration Date:
2025-08-20

Business Information

Activation Date:
2024-08-22
Initial Registration Date:
2024-08-20

National Provider Identifier

NPI Number:
1407335458
Certification Date:
2023-06-26

Authorized Person:

Name:
JOSHUA HELMS
Role:
CHIEF EXECUTIVE OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
282N00000X - General Acute Care Hospital
Is Primary:
No
Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8138644436

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-05-24 501 N. Reo Street, Tampa, FL 33609 -
CHANGE OF MAILING ADDRESS 2023-05-24 501 N. Reo Street, Tampa, FL 33609 -
REGISTERED AGENT NAME CHANGED 2023-03-14 Wood, David L -
REGISTERED AGENT ADDRESS CHANGED 2020-06-26 504 N. REO ST., TAMPA, FL 33609 -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-03-14
ANNUAL REPORT 2022-03-30
ANNUAL REPORT 2021-03-12
ANNUAL REPORT 2020-06-26
ANNUAL REPORT 2019-04-07
ANNUAL REPORT 2018-04-22
Florida Limited Liability 2017-04-24

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Date of last update: 02 Aug 2025

Sources: Florida Department of State