Entity Name: | KEYHOLE SURGERY CENTER - WINTER HAVEN, L.L.C. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 23 Jul 2020 (5 years ago) |
Date of dissolution: | 22 Sep 2023 (a year ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 22 Sep 2023 (a year ago) |
Document Number: | L20000217957 |
FEI/EIN Number | 853621534 |
Address: | 1245 COURT STREET, CLEARWATER, FL, 33756, US |
Mail Address: | 1121 1st Street S., Winter Haven, FL, 33880, US |
ZIP code: | 33756 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1912598939 | 2021-02-02 | 2022-07-13 | 1121 1ST ST S, WINTER HAVEN, FL, 338803902, US | 1121 1ST ST S, WINTER HAVEN, FL, 338803902, US | |||||||||||||||
|
Phone | +1 877-817-8346 |
Fax | 3212860517 |
Authorized person
Name | DR. OBINNA U NWOBI |
Role | OWNER |
Phone | 8778178346 |
Taxonomy
Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
GASSMAN ALAN SESQ. | Agent | 1245 COURT STREET, CLEARWATER, FL, 33756 |
Name | Role | Address |
---|---|---|
NWOBI OBINNA MD | Manager | 1245 COURT STREET, CLEARWATER, FL, 33756 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
CHANGE OF MAILING ADDRESS | 2021-05-22 | 1245 COURT STREET, CLEARWATER, FL 33756 | No data |
LC NAME CHANGE | 2020-10-23 | KEYHOLE SURGERY CENTER - WINTER HAVEN, L.L.C. | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2022-01-25 |
ANNUAL REPORT | 2021-02-04 |
LC Name Change | 2020-10-23 |
Florida Limited Liability | 2020-07-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State