| Entity Name: | JACKSONVILLE OUTPATIENT SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Jan 2019 (6 years ago) |
| Document Number: | L19000005241 |
| FEI/EIN Number | 833910772 |
| Address: | 501 N Reo Street, tampa, FL, 33609, US |
| Mail Address: | 501 N Reo Street, tampa, FL, 33609, US |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093276859 | 2019-03-26 | 2023-06-26 | PO BOX 628768, ORLANDO, FL, 328628768, US | 1731 WELLS RD SUITE 200, ORANGE PARK, FL, 320732322, US | |||||||||||||||||
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| Phone | +1 813-549-2134 |
| Phone | +1 904-385-2162 |
| Fax | 9043852176 |
Authorized person
| Name | JOSHUA HELMS |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 8135492134 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Wood David | Agent | 504 N REO STREET, TAMPA, FL, 33609 |
| Name | Role | Address |
|---|---|---|
| Helms Josh | Chief Executive Officer | 504 N REO STREET, TAMPA, FL, 33609 |
| Name | Role | Address |
|---|---|---|
| Gari Tracie | Chief Administrative Officer | 504 N REO STREET, TAMPA, FL, 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-08-15 | 501 N Reo Street, tampa, FL 33609 | No data |
| CHANGE OF MAILING ADDRESS | 2023-08-15 | 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 |
| 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 |
| Florida Limited Liability | 2019-01-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
