Search icon

SURGCENTER OF RIVERVIEW, LLC

Company Details

Entity Name: SURGCENTER OF RIVERVIEW, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Nov 2020 (4 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 28 Oct 2022 (2 years ago)
Document Number: L20000352110
FEI/EIN Number 86-2294452
Address: 1715 N WEST SHORE BLVD STE 190, TAMPA, FL, 33607
Mail Address: 1715 N WEST SHORE BLVD STE 190, TAMPA, FL, 33607
ZIP code: 33607
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023787488 2021-09-09 2024-07-24 1715 N WEST SHORE BLVD STE 190, TAMPA, FL, 336073911, US 1715 N WEST SHORE BLVD STE 190, TAMPA, FL, 336073911, US

Contacts

Phone +1 813-870-1000
Fax 8138701025

Authorized person

Name RON CHATTERJEE
Role CEO
Phone 7274152137

Taxonomy

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

Agent

Name Role Address
Kokoszka Urszula Agent 1715 N WEST SHORE BLVD STE 190, TAMPA, FL, 33607

Manager

Name Role Address
BRESSMAN SARA Manager 1715 N WEST SHORE BLVD STE 190, TAMPA, FL, 33607

Chief Executive Officer

Name Role Address
Chatterjee Ron Dr. Chief Executive Officer 3910 W. Azeele St., Tampa, FL, 33609

Chief Operating Officer

Name Role Address
Azeem Nomen Chief Operating Officer 5036 Wesley Drive, Tampa, FL, 33647

Secretary

Name Role Address
Nguyen Thuy Secretary 5003 W Azeele St, Tampa, FL, 33609

Treasurer

Name Role Address
Sarria Jose Treasurer 17233 Emerald Chase Dr, Tampa, FL, 33647

Admi

Name Role Address
Kokoszka Urszula Admi 1715 N WEST SHORE BLVD STE 190, TAMPA, FL, 33607

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000097745 WEST FLORIDA SURGICAL SUITES ACTIVE 2021-07-27 2026-12-31 No data 1715 N. WESTSHORE, SUITE 190, TAMPA, FL, 33607

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-10-04 Kokoszka, Urszula No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-03 1715 N WEST SHORE BLVD STE 190, TAMPA, FL 33607 No data
LC STMNT OF RA/RO CHG 2022-10-28 No data No data
CHANGE OF PRINCIPAL ADDRESS 2022-10-28 1715 N WEST SHORE BLVD STE 190, TAMPA, FL 33607 No data
CHANGE OF MAILING ADDRESS 2022-10-28 1715 N WEST SHORE BLVD STE 190, TAMPA, FL 33607 No data

Documents

Name Date
ANNUAL REPORT 2025-01-10
ANNUAL REPORT 2024-02-04
AMENDED ANNUAL REPORT 2023-10-04
AMENDED ANNUAL REPORT 2023-03-23
ANNUAL REPORT 2023-01-03
CORLCRACHG 2022-10-28
ANNUAL REPORT 2022-03-09
AMENDED ANNUAL REPORT 2021-09-09
ANNUAL REPORT 2021-07-28
Florida Limited Liability 2020-11-05

Date of last update: 01 Feb 2025

Sources: Florida Department of State