Entity Name: | SURGCENTER OF GREATER JACKSONVILLE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 24 Oct 2018 (6 years ago) |
Last Event: | LC STMNT OF RA/RO CHG |
Event Date Filed: | 28 Oct 2022 (2 years ago) |
Document Number: | L18000250722 |
FEI/EIN Number | 83-2504492 |
Mail Address: | 14201 DALLAS PKWY, Dallas, TX, 75254, US |
Address: | 9143 PHILLIPS HWY STE 500, JACKSONVILLE, FL, 32256, US |
ZIP code: | 32256 |
County: | Duval |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1104485440 | 2019-06-11 | 2024-09-10 | 14201 DALLAS PKWY, DALLAS, TX, 752542916, US | 9143 PHILIPS HWY STE 500, JACKSONVILLE, FL, 322561335, US | |||||||||||||||
|
Phone | +1 469-893-2500 |
Phone | +1 904-233-0597 |
Authorized person
Name | COLLIN LEMAISTRE |
Role | MARKET PRESIDENT |
Phone | 2142130723 |
Taxonomy
Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CT CORPORATION SYSTEM | Agent | 1200 S PINE ISLAND RD, PLANTATION, FL, 33324 |
Name | Role | Address |
---|---|---|
LeMaistre Collin | President | 14201 DALLAS PKWY, Dallas, TX, 75254 |
Name | Role | Address |
---|---|---|
Farringtpm Pam | Vice President | 14201 DALLAS PKWY, Dallas, TX, 75254 |
Edwards Beth | Vice President | 9143 PHILLIPS HWY STE 500, JACKSONVILLE, FL, 32256 |
Name | Role | Address |
---|---|---|
Sims Karen | Auth | 14201 DALLAS PKWY, Dallas, TX, 75254 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2023-05-09 | 9143 PHILLIPS HWY STE 500, JACKSONVILLE, FL 32256 | No data |
LC STMNT OF RA/RO CHG | 2022-10-28 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2022-10-28 | CT CORPORATION SYSTEM | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-10-28 | 1200 S PINE ISLAND RD, PLANTATION, FL 33324 | No data |
LC AMENDMENT | 2019-07-03 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2019-07-03 | 9143 PHILLIPS HWY STE 500, JACKSONVILLE, FL 32256 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-12 |
ANNUAL REPORT | 2023-05-09 |
CORLCRACHG | 2022-10-28 |
ANNUAL REPORT | 2022-04-05 |
ANNUAL REPORT | 2021-04-22 |
ANNUAL REPORT | 2020-03-03 |
LC Amendment | 2019-07-03 |
ANNUAL REPORT | 2019-04-30 |
Florida Limited Liability | 2018-10-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State