| Entity Name: | MIDDLEBURG SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Jul 2018 (7 years ago) |
| Document Number: | L18000167046 |
| FEI/EIN Number | 831229418 |
| Address: | 1821 BLANDING BLVD, MIDDLEBURG, FL, 32068, US |
| Mail Address: | 1821 BLANDING BLVD, MIDDLEBURG, FL, 32068, US |
| ZIP code: | 32068 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558844183 | 2018-09-10 | 2024-03-13 | 1821 BLANDING BLVD STE 2, MIDDLEBURG, FL, 320683839, US | 1821 BLANDING BLVD, MIDDLEBURG, FL, 320683839, US | |||||||||||||||||
|
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| Phone | +1 904-264-0400 |
Authorized person
| Name | ESTHER CHRISTINE LINDEMAN |
| Role | ADMINISTRATOR |
| Phone | 9042640400 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MH CORPORATE SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| POWELL KENNETH D.O. | Manager | 1821 BLANDING BLVD, MIDDLEBURG, FL, 32068 |
| Name | Role | Address |
|---|---|---|
| Christman Andrew | Chief Executive Officer | 1821 BLANDING BLVD, MIDDLEBURG, FL, 32068 |
| Name | Role | Address |
|---|---|---|
| Taboh Gregg | Chief Operating Officer | 1821 BLANDING BLVD, MIDDLEBURG, FL, 32068 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-24 | MH Corporate Services, Inc. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-01 | 14 East Bay Street, Jacksonville, FL 32202 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-03-22 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-04-01 |
| Florida Limited Liability | 2018-07-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
