| Entity Name: | COLONIAL OUTPATIENT SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 May 2018 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 16 Oct 2019 (5 years ago) |
| Document Number: | L18000130136 |
| FEI/EIN Number | 83-1529015 |
| Address: | 4571 Colonial Boulevard, Suite 200, Fort Myers, FL 33966 |
| Mail Address: | 4571 Colonial Boulevard, Suite 200, Fort Myers, FL 33966 |
| ZIP code: | 33966 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760963292 | 2018-08-23 | 2018-08-23 | 4571 COLONIAL BLVD, FORT MYERS, FL, 339661156, US | 4571 COLONIAL BLVD, FORT MYERS, FL, 339661156, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 239-333-2050 |
Authorized person
| Name | JACKY LUCIA |
| Role | CHIEF ADMINISTRATIVE OFFICER |
| Phone | 2399637365 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| CIK number | Mailing Address | Business Address | Phone | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1754364 | 4571 COLONIAL BOULEVARD, SUITE 200, FORT MYERS, FL, 33966 | 4571 COLONIAL BOULEVARD, SUITE 200, FORT MYERS, FL, 33966 | 239-333-2560 | |||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||
| Form type | D |
| File number | 021-506435 |
| Filing date | 2024-02-29 |
| File | View File |
Filings since 2023-10-20
| Form type | D |
| File number | 021-495309 |
| Filing date | 2023-10-20 |
| File | View File |
Filings since 2023-02-22
| Form type | D |
| File number | 021-474046 |
| Filing date | 2023-02-22 |
| File | View File |
Filings since 2020-12-22
| Form type | D |
| File number | 021-383994 |
| Filing date | 2020-12-22 |
| File | View File |
Filings since 2018-09-27
| Form type | D |
| File number | 021-322265 |
| Filing date | 2018-09-27 |
| File | View File |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Mark, Ladd W. | Manager | 4571 Colonial Boulevard, Suite 200 Fort Myers, FL 33966 |
| Name | Role | Address |
|---|---|---|
| Jones, Jordan | Member | 4571 Colonial Boulevard, Suite 200 Fort Myers, FL 33966 |
| Walker, Patrick Neil | Member | 4571 Colonial Boulevard, Suite 200 Fort Myers, FL 33966 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-29 | 4571 Colonial Boulevard, Suite 200, Fort Myers, FL 33966 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-29 | 4571 Colonial Boulevard, Suite 200, Fort Myers, FL 33966 | No data |
| REINSTATEMENT | 2019-10-16 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-16 | C T CORPORATION SYSTEM | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-06-02 |
| REINSTATEMENT | 2019-10-16 |
| Florida Limited Liability | 2018-05-24 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
