| Entity Name: | ADVANCED SURGERY CENTER OF OXFORD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 May 2018 (7 years ago) |
| Document Number: | L18000111870 |
| FEI/EIN Number | 82-5522826 |
| Address: | 12117 CR 103, OXFORD, FL 34484 |
| Mail Address: | 12117 CR 103, OXFORD, FL 34484 |
| ZIP code: | 34484 |
| County: | Sumter |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033760723 | 2019-09-24 | 2021-03-10 | 12117 CR 103, OXFORD, FL, 34484, US | 12117 CR 103, OXFORD, FL, 34484, US | |||||||||||||||||
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| Phone | +1 352-205-8981 |
| Phone | +1 352-626-8989 |
| Fax | 3523995111 |
Authorized person
| Name | HARVEY CARL TAUB |
| Role | DIRECTOR |
| Phone | 3522058981 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5493000NRR24PAWO7N49 | L18000111870 | US-FL | GENERAL | ACTIVE | No data | |||||||||||||||||||
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| Legal | C/O TAUB, HARVEY, MD, 12109 CR 103, OXFORD, US-FL, US, 34484 |
| Headquarters | 12109 CR 103, Oxford, US-FL, US, 34484 |
Registration details
| Registration Date | 2018-12-20 |
| Last Update | 2023-08-04 |
| Status | LAPSED |
| Next Renewal | 2019-12-19 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | L18000111870 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OXFORD SURGERY CENTER 401(K) PLAN | 2023 | 825522826 | 2024-05-21 | ADVANCED SURGERY CENTER OF OXFORD LLC | 24 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 823719843 |
| Plan administrator’s name | FUTUREPLAN FIDUCIARY SERVICES LLC |
| Plan administrator’s address | PO BOX 55757, BOSTON, MA, 02205 |
| Administrator’s telephone number | 8557115283 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-21 |
| Name of individual signing | ALICIA M. TURNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| TAUB, HARVEY, MD | Agent | 12109 CR 103, OXFORD, FL 34484 |
| Name | Role | Address |
|---|---|---|
| TAUB, HARVEY, MD | Manager | 12109 CR 103, OXFORD, FL 34484 |
| KING, EDWARD, MD | Manager | 12109 CR 103, OXFORD, FL 34484 |
| SHER, ANDREW, MD | Manager | 12109 CR 103, OXFORD, FL 34484 |
| DERSCH, MARK, MD | Manager | 12109 CR 103, OXFORD, FL 34484 |
| KARAVADIA, SAUMIL, MD | Manager | 12109 CR 103, OXFORD, FL 34484 |
| RAO, DINESH, MD | Manager | 12109 CR 103, OXFORD, FL 34484 |
| ROACH, RICHARD, MD | Manager | 12109 CR 103, OXFORD, FL 34484 |
| GORDON, CAROLE, MD | Manager | 12109 CR 103, OXFORD, FL 34484 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-01-11 | 12117 CR 103, OXFORD, FL 34484 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-04 | 12117 CR 103, OXFORD, FL 34484 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-02-04 |
| ANNUAL REPORT | 2019-04-30 |
| Florida Limited Liability | 2018-05-03 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
