| Entity Name: | CYPRESS AMBULATORY SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Nov 2017 (7 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 07 Jan 2021 (4 years ago) |
| Document Number: | L17000237718 |
| FEI/EIN Number | 823481913 |
| Address: | 511 W Bay Street Suite 400, Tampa, FL, 33606, US |
| Mail Address: | 511 W Bay Street Suite 400, Tampa, FL, 33606, US |
| ZIP code: | 33606 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386381408 | 2022-05-19 | 2023-03-08 | 511 W BAY ST STE 400, TAMPA, FL, 336062700, US | 2863 WELLNESS AVE, ORANGE CITY, FL, 32763, US | |||||||||||||||
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| Phone | +1 813-819-0309 |
| Fax | 3866682228 |
Authorized person
| Name | CHARLES DAVIS III |
| Role | CHIEF OPERATING OFFICER |
| Phone | 8134775580 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HATFIELD MATTHEW A | Agent | 511 W Bay Street Suite 400, Tampa, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| Davis Charles | Chief Operating Officer | 511 W Bay Street Suite 400, Tampa, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| Doyle Michael | Chief Executive Officer | 511 W Bay Street Suite 400, Tampa, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| Gupta Vishal | President | 2884 Wellness Ave, #100, Orange City, FL, 32763 |
| Name | Role | Address |
|---|---|---|
| Lingle Brandan | Chief Financial Officer | 511 W Bay Street Suite 400, Tampa, FL, 33606 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000059923 | CURRENCY CIRCLE SURGERY CENTER | ACTIVE | 2022-05-12 | 2027-12-31 | No data | 835 CURRENCY CIRCLE, LAKE MARY, FL, 32746 |
| G22000059532 | WELLNESS AVENUE SURGERY CENTER | ACTIVE | 2022-05-11 | 2027-12-31 | No data | 2863 WELLNESS AVE, ORANGE CITY, FL, 32763 |
| G18000002446 | WOMEN'S CARE FLORIDA SURGICAL CENTER | EXPIRED | 2018-01-04 | 2023-12-31 | No data | 5002 W LEMON ST, TAMPA, FL, 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-02-21 | HATFIELD, MATTHEW A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-21 | 511 W Bay Street Suite 400, Tampa, FL 33606 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-07-08 | 511 W Bay Street Suite 400, Tampa, FL 33606 | No data |
| CHANGE OF MAILING ADDRESS | 2022-07-08 | 511 W Bay Street Suite 400, Tampa, FL 33606 | No data |
| LC AMENDMENT AND NAME CHANGE | 2021-01-07 | CYPRESS AMBULATORY SURGERY CENTER, LLC | No data |
| LC STMNT OF RA/RO CHG | 2018-12-04 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-02-21 |
| AMENDED ANNUAL REPORT | 2022-07-08 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-04-20 |
| LC Amendment and Name Change | 2021-01-07 |
| AMENDED ANNUAL REPORT | 2020-04-07 |
| AMENDED ANNUAL REPORT | 2020-04-03 |
| ANNUAL REPORT | 2020-03-05 |
| ANNUAL REPORT | 2019-04-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
