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CVI AMBULATORY SURGERY CENTER, LLC - Florida Company Profile

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Company Details

Entity Name: CVI AMBULATORY SURGERY CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Feb 2020 (6 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 17 Apr 2023 (2 years ago)
Document Number: L20000042717
FEI/EIN Number 84-4815499
Address: 2111 SW 20th Place, Ocala, FL, 34471, US
Mail Address: 2111 SW 20th Place, Ocala, FL, 34471, US
ZIP code: 34471
City: Ocala
County: Marion
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CT CORPORATION SYSTEM Agent 1200 S PINE ISLAND RD, PLANTATION, FL, 33324
Gummadi Siva Manager 2111 SW 20th Place, Ocala, FL, 34471

National Provider Identifier

NPI Number:
1942884457
Certification Date:
2021-05-10

Authorized Person:

Name:
RANDY WARDLOW
Role:
ADMINISTRATOR
Phone:

Taxonomy:

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

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000013147 SURGERY CENTER OF CENTRAL FLORIDA ACTIVE 2023-01-27 2028-12-31 - 6547 SW STATE ROAD 200, OCALA, FL, 34476
G21000037675 SURGERY CENTER OF CENTRAL FLORIDA ACTIVE 2021-03-18 2026-12-31 - 2111 SW 20TH PLACE, OCALA, FL, 34471

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2023-04-17 - -
REGISTERED AGENT NAME CHANGED 2023-04-17 CT CORPORATION SYSTEM -
REGISTERED AGENT ADDRESS CHANGED 2023-04-17 1200 S PINE ISLAND RD, PLANTATION, FL 33324 -

Documents

Name Date
ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2023-04-28
CORLCRACHG 2023-04-17
ANNUAL REPORT 2022-04-01
ANNUAL REPORT 2021-04-07
Florida Limited Liability 2020-02-12

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Date of last update: 03 Aug 2025

Sources: Florida Department of State