| Entity Name: | SURGCENTER OF PINE RIDGE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Aug 2020 (4 years ago) |
| Document Number: | L20000267400 |
| FEI/EIN Number | 85-3561528 |
| Mail Address: | 14201 DALLAS PKWY, FL 13, Dallas, TX 75254 |
| Address: | 12871 TRADE WAY DRIVE STE 12, BONITA SPRINGS, FL 34135-7334 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285202077 | 2021-06-16 | 2024-09-10 | 12871 TRADE WAY DR, STE 12, BONITA SPRINGS, FL, 341357334, US | 12871 TRADE WAY DR, STE 12, BONITA SPRINGS, FL, 341357334, US | |||||||||||||
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| Phone | +1 239-478-0051 |
Authorized person
| Name | COLLIN LEMAISTRE |
| Role | OFFICER/AUTHORIZED OFFICIAL |
| Phone | 2142130732 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT Corporation System | Agent | 1200 S Pine Island, Plantation, FL 33324 |
| Name | Role | Address |
|---|---|---|
| Surgical Center Development #4, LLC | Manager | 14201 DALLAS PKWY, FL 13 Dallas, TX 75254 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000076016 | BONITA SPRINGS SURGERY CENTER | ACTIVE | 2021-06-07 | 2026-12-31 | No data | 12871 TRADE WAY DRIVE, SUITE 12, BONITA SPRINGS, FL, 34135 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-05-03 | 12871 TRADE WAY DRIVE STE 12, BONITA SPRINGS, FL 34135-7334 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-05-03 | CT Corporation System | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-05-03 | 1200 S Pine Island, Plantation, FL 33324 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-05-27 | 12871 TRADE WAY DRIVE STE 12, BONITA SPRINGS, FL 34135-7334 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-02 |
| AMENDED ANNUAL REPORT | 2023-05-03 |
| ANNUAL REPORT | 2023-01-03 |
| AMENDED ANNUAL REPORT | 2022-09-09 |
| ANNUAL REPORT | 2022-01-27 |
| AMENDED ANNUAL REPORT | 2021-07-21 |
| ANNUAL REPORT | 2021-05-27 |
| Florida Limited Liability | 2020-08-27 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
