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JACKSONVILLE OUTPATIENT SURGERY CENTER, LLC - Florida Company Profile

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Company Details

Entity Name: JACKSONVILLE OUTPATIENT SURGERY CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 Jan 2019 (7 years ago)
Document Number: L19000005241
FEI/EIN Number 833910772
Mail Address: 501 N Reo Street, tampa, FL, 33609, US
Address: 1731 Wells Rd, Orange Park, FL, 32073, US
ZIP code: 32073
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Helms Josh Chief Executive Officer 501 N Reo Street, tampa, FL, 33609
Gari Tracie Chief Administrative Officer 501 N Reo Street, tampa, FL, 33609
Wood David Agent 501 N Reo Street, tampa, FL, 33609

Unique Entity ID

Unique Entity ID:
H4RXKFL85WA6
UEI Expiration Date:
2026-02-19

Business Information

Activation Date:
2025-02-21
Initial Registration Date:
2024-08-20

National Provider Identifier

NPI Number:
1093276859
Certification Date:
2023-06-26

Authorized Person:

Name:
JOSHUA HELMS
Role:
CHIEF EXECUTIVE OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
9043852176

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-08-15 501 N Reo Street, tampa, FL 33609 -
CHANGE OF MAILING ADDRESS 2023-08-15 501 N Reo Street, tampa, FL 33609 -
REGISTERED AGENT NAME CHANGED 2023-03-14 Wood, David -
REGISTERED AGENT ADDRESS CHANGED 2020-06-26 504 N REO STREET, TAMPA, FL 33609 -

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
Florida Limited Liability 2019-01-08

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Date of last update: 01 Aug 2025

Sources: Florida Department of State