| Entity Name: | JEWETT ORTHOPEDIC INSTITUTE SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
JEWETT ORTHOPEDIC INSTITUTE 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: | 22 Apr 2021 (4 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 04 May 2021 (4 years ago) |
| Document Number: | L21000188455 |
| FEI/EIN Number |
87-2667237
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 1414 KUHL AVENUE, MP2, ORLANDO, FL, 32806 |
| Address: | 60 Columbia Street, Suite 200, ORLANDO, FL, 32806, US |
| ZIP code: | 32806 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588312607 | 2022-03-17 | 2022-03-17 | 65 STURTEVANT ST # MP65, ORLANDO, FL, 328062016, US | 60 COLUMBIA STREET, ORLANDO, FL, 32806, US | |||||||||||||||
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| Phone | +1 321-841-8199 |
| Phone | +1 757-677-6054 |
Authorized person
| Name | JAN LESLIE DIEDRICH |
| Role | VICE PRESIDENT |
| Phone | 3218418199 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Ohe Greg | Auth | 1414 KUHL AVENUE, ORLANDO, FL, 32806 |
| Miller John | Auth | 1414 KUHL AVENUE, ORLANDO, FL, 32806 |
| Carrasco Carlos | Auth | 1414 KUHL AVENUE, ORLANDO, FL, 32806 |
| Deren Jeffrey MD | Auth | 1414 KUHL AVENUE, ORLANDO, FL, 32806 |
| Ebaugh Michael MD | Auth | 1414 KUHL AVENUE, ORLANDO, FL, 32806 |
| ZIKA RYAN W | Agent | 207 W. Gore St., Suite 201, ORLANDO, FL, 32806 |
| HEALTHNET SERVICES, INC. | Manager | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000148982 | DR. JEWETT SURGERY CENTER | ACTIVE | 2022-12-05 | 2027-12-31 | - | 1414 KUHL AVE., MP2, ORLANDO, FL, 32806 |
| G22000148984 | EUGENE JEWETT, MD, SURGERY CENTER | ACTIVE | 2022-12-05 | 2027-12-31 | - | 1414 KUHL AVE, MP 2, ORLANDO, FL, 32806 |
| G21000089392 | JEWETT INSTITUTE SURGERY CENTER | ACTIVE | 2021-07-07 | 2026-12-31 | - | 1414 KUHL AVENUE, MP2, ORLANDO, FL, 32806 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-07 | 60 Columbia Street, Suite 200, ORLANDO, FL 32806 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-16 | 207 W. Gore St., Suite 201, ORLANDO, FL 32806 | - |
| LC NAME CHANGE | 2021-05-04 | JEWETT ORTHOPEDIC INSTITUTE SURGERY CENTER, LLC | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-09 |
| ANNUAL REPORT | 2022-03-16 |
| LC Name Change | 2021-05-04 |
| Florida Limited Liability | 2021-04-22 |
| Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Active | P3355154 | JEWETT ORTHOPEDIC INSTITUTE SURGERY CENTER, LLC | EUGENE JEWETT SURGERY CENTER | SQC9LYPCLCN5 | 60 COLUMBIA ST STE 200, ORLANDO, FL, 32806-1115 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HUBZone Certified | No |
| Women Owned Certified | No |
| Women Owned Pending | No |
| Economically Disadvantaged Women Owned Certified | No |
| Economically Disadvantaged Women Owned Pending | No |
| Veteran-Owned Small Business Certified | No |
| Veteran-Owned Small Business Joint Venture | No |
| Service-Disabled Veteran-Owned Small Business Certified | No |
| Service-Disabled Veteran-Owned Small Business Joint Venture | No |
Bonding Levels
| Description | Construction Bonding Level (per contract) |
| Level | (none given) |
| Description | Construction Bonding Level (aggregate) |
| Level | (none given) |
| Description | Service Bonding Level (per contract) |
| Level | (none given) |
| Description | Service Bonding Level (aggregate) |
| Level | (none given) |
NAICS Codes with Size Determinations by NAICS
| Primary | Yes |
| Code | 621493 |
| NAICS Code's Description | Freestanding Ambulatory Surgical and Emergency Centers |
| Buy Green | Yes |
| Code | 621498 |
| NAICS Code's Description | All Other Outpatient Care Centers |
| Buy Green | Yes |
Export Profile (Trade Mission Online)
| Exporter | Firm hasn't answered this question yet |
| Export Business Activities | (none given) |
| Exporting to | (none given) |
| Desired Export Business Relationships | (none given) |
| Description of Export Objective(s) | (none given) |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
