| Entity Name: | SAFETY HARBOR ASC COMPANY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Oct 2017 (7 years ago) |
| Document Number: | L17000208698 |
| FEI/EIN Number | 32-0547161 |
| Mail Address: | 14201 Dallas Parkway, Dallas, TX 75254 |
| Address: | 3820 McMullen Road, Suite 110, Clearwater, FL 33761 |
| ZIP code: | 33761 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942715826 | 2017-12-13 | 2024-10-11 | 3280 N MCMULLEN BOOTH RD STE 110, CLEARWATER, FL, 337612046, US | 3280 N MCMULLEN BOOTH RD STE 110, CLEARWATER, FL, 337612046, US | |||||||||||||||
|
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| Phone | +1 727-787-3000 |
| Fax | 7277873008 |
Authorized person
| Name | COLLIN LEMAISTRE |
| Role | OFFICER/AUTHORIZED OFFICIAL |
| Phone | 2142130732 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role |
|---|---|
| NATIONAL SURGERY CENTER HOLDINGS, INC. | Manager |
| Name | Role | Address |
|---|---|---|
| LeMaistre, Collin | President | 3820 McMullen Road, Suite 110 Clearwater, FL 33761 |
| Name | Role | Address |
|---|---|---|
| Carr, Carol | Vice President | 3820 McMullen Road, Suite 110 Clearwater, FL 33761 |
| McCawley, Andrea | Vice President | 3820 McMullen Road, Suite 110 Clearwater, FL 33761 |
| Farrington, Pam | Vice President | 14201 DALLAS PKWY, Dallas, TX 75254 |
| Bowden, James | Vice President | 14201 DALLAS PKWY, FL 13 Dallas, TX 75254 |
| Name | Role | Address |
|---|---|---|
| Bowden, James | Secretary | 14201 DALLAS PKWY, FL 13 Dallas, TX 75254 |
| Name | Role | Address |
|---|---|---|
| Koch, Carol | Asst. Treasurer | 14201 Dallas Parkway, Dallas, TX 75254 |
| Name | Role | Address |
|---|---|---|
| Siedelmann, Kim | Asst. Secretary | 14201 Dallas Parkway, Dallas, TX 75254 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000039734 | SAFETY HARBOR SURGERY CENTER | ACTIVE | 2018-03-26 | 2029-12-31 | No data | 14201 DALLAS PKWY, FL 13, DALLAS, TX, 75254 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-08 | 3820 McMullen Road, Suite 110, Clearwater, FL 33761 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-20 | 3820 McMullen Road, Suite 110, Clearwater, FL 33761 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-02 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-06-20 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-04 |
| Florida Limited Liability | 2017-10-09 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
