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PANHANDLE OUTPATIENT SURGERY CENTER LLC

Company Details

Entity Name: PANHANDLE OUTPATIENT SURGERY CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 26 Feb 2019 (6 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 11 Jan 2023 (2 years ago)
Document Number: L19000055509
FEI/EIN Number 83-3975146
Address: 1502 CREIGHTON ROAD, SUITE C, PENSACOLA, FL 32504
Mail Address: 1502 CREIGHTON ROAD, SUITE C, PENSACOLA, FL 32504
ZIP code: 32504
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346865078 2020-06-09 2024-11-07 1502 CREIGHTON RD STE C, PENSACOLA, FL, 325047143, US 1502 CREIGHTON RD STE C, PENSACOLA, FL, 325047143, US

Contacts

Phone +1 850-876-8200
Phone +1 561-630-6277
Fax 5616306062

Authorized person

Name KARL THORPE
Role DIRECTOR OF OPERATIONS
Phone 8048144378

Taxonomy

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

Agent

Name Role Address
Gibert, Megan Elizabeth Agent 1502 Creighton Rd, Suite C, Pensacola, FL 32504

Manager

Name Role Address
Bressman, Sara Manager 1502 CREIGHTON ROAD, Suite C PENSACOLA, FL 32504

Administrator

Name Role Address
Gibert, Megan Administrator 1502 CREIGHTON ROAD, SUITE C PENSACOLA, FL 32504

Chief Executive Officer

Name Role Address
Nilssen, Erik Chief Executive Officer 1502 CREIGHTON ROAD, Suite C PENSACOLA, FL 32504

Chief Operating Officer

Name Role Address
Giovanini, Mark Chief Operating Officer 1502 CREIGHTON ROAD, SUITE C PENSACOLA, FL 32504

Authorized Member

Name Role Address
Giovanini, Mark Authorized Member 1502 CREIGHTON ROAD, SUITE C PENSACOLA, FL 32504

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-10-10 Gibert, Megan Elizabeth No data
REGISTERED AGENT ADDRESS CHANGED 2023-03-24 1502 Creighton Rd, Suite C, Pensacola, FL 32504 No data
LC STMNT OF RA/RO CHG 2023-01-11 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-01-11 1502 CREIGHTON ROAD, SUITE C, PENSACOLA, FL 32504 No data
CHANGE OF MAILING ADDRESS 2023-01-11 1502 CREIGHTON ROAD, SUITE C, PENSACOLA, FL 32504 No data

Documents

Name Date
ANNUAL REPORT 2024-03-19
AMENDED ANNUAL REPORT 2023-10-10
ANNUAL REPORT 2023-03-24
CORLCRACHG 2023-01-11
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-06-28
Florida Limited Liability 2019-02-26

Date of last update: 16 Feb 2025

Sources: Florida Department of State