| Entity Name: | PEACE RIVER SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PEACE RIVER SURGERY CENTER, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 08 Sep 2020 (5 years ago) |
| Document Number: | L20000279233 |
| FEI/EIN Number |
85-3047089
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 4161 TAMIAMI TRAIL, SUITE 701, PORT CHARLOTTE, FL, 33952, US |
| Address: | 4130 Tamiami Trail, Unit 301, PORT CHARLOTTE, FL, 33952, US |
| ZIP code: | 33952 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467101907 | 2022-03-22 | 2023-04-26 | 4130 TAMIAMI TRL UNIT 301, PORT CHARLOTTE, FL, 339529207, US | 4130 TAMIAMI TRL UNIT 301, PORT CHARLOTTE, FL, 339529207, US | |||||||||||||||
|
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| Phone | +1 941-629-5356 |
| Fax | 9416294987 |
Authorized person
| Name | DR. NICOLAI MEJEVOI |
| Role | MEDICAL DIRECTOR |
| Phone | 9416295356 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HOTCHKISS DAVID | Owne | 4130 Tamiami Trail, Unit 301, PORT CHARLOTTE, FL, 33952 |
| NICOLAI MEJEVOI | Owne | 4130 Tamiami Trail, Unit 301, PORT CHARLOTTE, FL, 33952 |
| BANDLER ADRIENNE | Authorized Person | 4161 TAMIAMI TRAIL, SUITE 701, PORT CHARLOTTE, FL, 33952 |
| Strattan Melody | Owne | 4130 Tamiami Trail, Unit 301, PORT CHARLOTTE, FL, 33952 |
| HOTCHKISS DAVID | Agent | 4161 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2025-01-22 | 4130 Tamiami Trail, Unit 301, PORT CHARLOTTE, FL 33952 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-11-23 | 4130 Tamiami Trail, Unit 301, PORT CHARLOTTE, FL 33952 | - |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2025-01-22 |
| ANNUAL REPORT | 2025-01-21 |
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-02-02 |
| Florida Limited Liability | 2020-09-08 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
