| Entity Name: | SACRED HEART ASC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 May 2018 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Oct 2019 (5 years ago) |
| Document Number: | L18000112720 |
| FEI/EIN Number | 83-0521940 |
| Address: | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32504 |
| Mail Address: | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32504 |
| ZIP code: | 32504 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891312815 | 2020-06-26 | 2020-07-20 | 1890 SUMMIT BOULEVARD, SUITE 210, PENSACOLA, FL, 32503, US | 1890 SUMMIT BOULEVARD, SUITE 210, PENSACOLA, FL, 32503, US | |||||||||||||||
|
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| Phone | +1 833-419-1325 |
| Fax | 8448535049 |
Authorized person
| Name | MR. COY WELLS |
| Role | MANAGER |
| Phone | 2059992864 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| CIK number | Mailing Address | Business Address | Phone | |
|---|---|---|---|---|
| 1797018 | 569 BROOKWOOD VILLAGE, SUITE 901, BIRMINGHAM, AL, 35209 | 5151 NORTH 9TH AVENUE, PENSACOLA, FL, 32504 | 205-545-2734 | |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Fiedler, David | Manager | 1890 Summit Boulevard, Suite 210 Pensacola, FL 32504 |
| Gampher, Steve | Manager | 1890 Summit Boulevard, Suite 210 Pensacola, FL 32504 |
| Lambert, Nick | Manager | 1890 Summit Boulevard, Suite 210 Pensacola, FL 32504 |
| Mills, David | Manager | 1890 Summit Boulevard, Suite 210 Pensacola, FL 32504 |
| Springfellow, Drew | Manager | 1890 Summit Boulevard, Suite 210 Pensacola, FL 32504 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000083084 | SUMMIT SURGERY CENTER | ACTIVE | 2020-07-15 | 2025-12-31 | No data | 1890 SUMMIT BOULEVARD, PENSACOLA, FL, 32503 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-18 | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32504 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-18 | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32504 | No data |
| REINSTATEMENT | 2019-10-10 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-10 | C T CORPORATION SYSTEM | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-04-05 |
| AMENDED ANNUAL REPORT | 2021-07-13 |
| ANNUAL REPORT | 2021-04-24 |
| ANNUAL REPORT | 2020-05-27 |
| REINSTATEMENT | 2019-10-10 |
| Florida Limited Liability | 2018-05-09 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
