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SUMMERPORT SURGERY CENTER, LLC - Florida Company Profile

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Company Details

Entity Name: SUMMERPORT SURGERY CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SUMMERPORT SURGERY CENTER, 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: 15 Nov 2017 (8 years ago)
Document Number: L17000236425
FEI/EIN Number 37-1877771

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

Address: 5151 Winter Garden Vineland Rd., Suite 108, Windermere, FL, 34786, US
Mail Address: 102 W. Pineloch Ave., Suite 23, Orlando, FL, 32806, US
ZIP code: 34786
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Mastali MD Reza Auth 1414 KUHL AVE, ORLANDO, FL, 32806
Ramirez MD Hector Auth 1414 KUHL AVE, ORLANDO, FL, 32806
Edwards MD Troy Auth 1414 KUHL AVE, ORLANDO, FL, 32806
Koovakada Philip Auth 1414 KUHL AVE, ORLANDO, FL, 32806
Rosenbaum Vic Auth 1414 KUHL AVE, ORLANDO, FL, 32806
Nichols Cindy Auth 1414 KUHL AVE, ORLANDO, FL, 32806
Zika Ryan Agent 207 W Gore St., Suite 201, ORLANDO, FL, 32806

National Provider Identifier

NPI Number:
1942775762

Authorized Person:

Name:
DR. HECTOR RAMIREZ
Role:
OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000129867 SUMMERPORT SURGERY CENTER ACTIVE 2017-11-28 2027-12-31 - 1414 KUHL AVE., MP2, ORLANDO, FL, 32806

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-02-08 5151 Winter Garden Vineland Rd., Suite 108, Windermere, FL 34786 -
CHANGE OF PRINCIPAL ADDRESS 2023-03-23 5151 Winter Garden Vineland Rd., Suite 108, Windermere, FL 34786 -
REGISTERED AGENT ADDRESS CHANGED 2022-03-16 207 W Gore St., Suite 201, ORLANDO, FL 32806 -
REGISTERED AGENT NAME CHANGED 2021-03-26 Zika, Ryan -

Documents

Name Date
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-03-23
ANNUAL REPORT 2022-03-16
AMENDED ANNUAL REPORT 2021-12-21
AMENDED ANNUAL REPORT 2021-12-14
ANNUAL REPORT 2021-03-26
ANNUAL REPORT 2020-05-26
ANNUAL REPORT 2019-04-12
ANNUAL REPORT 2018-04-26
Florida Limited Liability 2017-11-15

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Date of last update: 02 Jun 2025

Sources: Florida Department of State