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SUN CITY CENTER AMBULATORY SURGERY CENTER, LLC

Company Details

Entity Name: SUN CITY CENTER AMBULATORY SURGERY CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 21 Sep 2018 (6 years ago)
Document Number: L18000223957
FEI/EIN Number 83-2043435
Address: 501 N. Reo Street, Tampa, FL 33609
Mail Address: 501 N. Reo Street, Tampa, FL 33609
ZIP code: 33609
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396203238 2019-03-11 2023-06-26 PO BOX 628778, ORLANDO, FL, 328628778, US 916 CYPRESS VILLAGE BLVD, RUSKIN, FL, 335736810, US

Contacts

Phone +1 813-549-2134
Phone +1 813-426-8263
Fax 8139224247

Authorized person

Name JOSHUA HELMS
Role CHIEF EXECUTIVE OFFICER
Phone 8135492134

Taxonomy

Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary Yes
Taxonomy Code 282N00000X - General Acute Care Hospital
Is Primary No

Agent

Name Role Address
Wood, David Agent 504 N. REO STREET, TAMPA, FL 33609

Chief Executive Officer

Name Role Address
Helms, Josh Chief Executive Officer 504 N. REO STREET, TAMPA, FL 33609

Chief Administrative Officer

Name Role Address
Gari, Tracie Chief Administrative Officer 504 N. REO STREET, TAMPA, FL 33609

President

Name Role Address
WOOD, DAVID A President 501 N. REO STREET, TAMPA, FL 33609

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000060578 SUN CITY OUTPATIENT SURGERY CENTER EXPIRED 2019-05-22 2024-12-31 No data 550 N. REO STREET STE. 100, TAMPA, FL, 33609
G19000017103 SUN CITY ASC EXPIRED 2019-02-01 2024-12-31 No data 504 N REO STREET, TAMPA, FL, 33609

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-08-15 501 N. Reo Street, Tampa, FL 33609 No data
CHANGE OF PRINCIPAL ADDRESS 2023-05-23 501 N. Reo Street, Tampa, FL 33609 No data
REGISTERED AGENT NAME CHANGED 2023-03-14 Wood, David No data
REGISTERED AGENT ADDRESS CHANGED 2020-06-26 504 N. REO STREET, TAMPA, FL 33609 No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-03-14
ANNUAL REPORT 2022-03-30
ANNUAL REPORT 2021-03-12
ANNUAL REPORT 2020-06-26
ANNUAL REPORT 2019-04-07
Florida Limited Liability 2018-09-21

Date of last update: 17 Jan 2025

Sources: Florida Department of State