| Entity Name: | ADVENTHEALTH SURGERY CENTER WELLSWOOD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Nov 2020 (4 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 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588260343 | 2020-12-08 | 2024-09-17 | 14201 DALLAS PKWY, DALLAS, TX, 752542916, US | 5013 N ARMENIA AVE, TAMPA, FL, 336031403, US | |||||||||||||||||||
|
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| Phone | +1 972-763-3859 |
| Fax | 9729203445 |
| Phone | +1 813-875-0562 |
| Fax | 8138751983 |
Authorized person
| Name | COLLIN LEMAISTRE |
| Role | OFFICER/AUTHORIZED OFFICIAL |
| Phone | 4692503640 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| LeMaistre Collin | President | 14201 DALLAS PKWY, Dallas, TX, 75254 |
| Name | Role | Address |
|---|---|---|
| Milo William | Vice President | 14201 DALLAS PARKWAY, DALLAS, TX, 75254 |
| Name | Role | Address |
|---|---|---|
| Bowden James | Secretary | 14201 DALLAS PKWY, Dallas, TX, 75254 |
| Name | Role | Address |
|---|---|---|
| Sims Karen | Auth | 14201 DALLAS PKWY, Dallas, TX, 75254 |
| Name | Role | Address |
|---|---|---|
| ADVENTHEALTH SURGERY CENTERS WEST FLORIDA | Manager | 14201 DALLAS PARKWAY, DALLAS, TX, 75254 |
| 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 | No data | 14201 DALLAS PARKWAY, DALLAS, TX, 75254 |
| 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 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
