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ADVENTHEALTH SURGERY CENTER WELLSWOOD, LLC - Florida Company Profile

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Company Details

Entity Name: ADVENTHEALTH SURGERY CENTER WELLSWOOD, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Nov 2020 (5 years ago)
Document Number: L20000356482
FEI/EIN Number 85-4111089
Address: 5013 N ARMENIA AVENUE, TAMPA, FL, 33603, US
Mail Address: 14201 DALLAS PARKWAY, DALLAS, TX, 75254, US
ZIP code: 33603
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Manager -
Edwards Beth Vice President 14201 DALLAS PARKWAY, DALLAS, TX, 75254
LeMaistre Collin President 14201 DALLAS PKWY, Dallas, TX, 75254
Bowden James Secretary 14201 DALLAS PKWY, Dallas, TX, 75254
Sims Karen Auth 14201 DALLAS PKWY, Dallas, TX, 75254
- Agent -

National Provider Identifier

NPI Number:
1588260343
Certification Date:
2024-09-17

Authorized Person:

Name:
COLLIN LEMAISTRE
Role:
OFFICER/AUTHORIZED OFFICIAL
Phone:

Taxonomy:

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

Contacts:

Fax:
9729203445
Fax:
8138751983

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000161607 ADVENTHEALTH SURGERY CENTER WELLSWOOD ACTIVE 2020-12-21 2025-12-31 - 14201 DALLAS PARKWAY, DALLAS, TX, 75254

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-18
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-01-12
Florida Limited Liability 2020-11-10

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Date of last update: 01 Aug 2025

Sources: Florida Department of State