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TGH SURGERY CENTER AT MORSANI, LLC - Florida Company Profile

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Company Details

Entity Name: TGH SURGERY CENTER AT MORSANI, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 11 Jun 2021 (4 years ago)
Document Number: L21000273737
FEI/EIN Number 871193981
Address: 13330 USF LAUREL DRIVE, TAMPA, FL, 33601, US
Mail Address: 13330 USF LAUREL DRIVE, TAMPA, FL, 33612, US
ZIP code: 33601
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
SMITH ADAM President PO BOX 1289, TAMPA, FL, 336011289
DAWKINS MARION Vice President PO BOX 1289, TAMPA, FL, 336011289
LOKENAUTH LIJAH Treasurer PO BOX 1289, TAMPA, FL, 336011289
DUBAULT RENEE Director 13330 USF LAUREL DRIVE, TAMPA, FL, 33612
TAUNK PUSHPAK MD Director 13330 USF LAUREL DRIVE, TAMPA, FL, 33612
JARSTAD JOHN MD MEDI 13330 USF LAUREL DRIVE, TAMPA, FL, 33612

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
LEANN ACKLEY
User ID:
P3207910
Trade Name:
TGH SURGERY CENTER AT MORSANI LLC

Unique Entity ID

Unique Entity ID:
ERYMM7JTZP68
CAGE Code:
9R1G2
UEI Expiration Date:
2026-02-11

Business Information

Doing Business As:
TGH SURGERY CENTER AT MORSANI LLC
Activation Date:
2025-02-13
Initial Registration Date:
2023-11-21

National Provider Identifier

NPI Number:
1679602544
Certification Date:
2021-10-22

Authorized Person:

Name:
ADAM SMITH
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
8133962351

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000102605 TGH SURGERY CENTER ACTIVE 2021-08-06 2026-12-31 - 13330 USF LAUREL DRIVE, MDH 2ND FLOOR, TAMPA, FL, 33612

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-11-10 13330 USF LAUREL DRIVE, MDH 2ND FLOOR, TAMPA, FL 33601 -
CHANGE OF MAILING ADDRESS 2021-11-10 13330 USF LAUREL DRIVE, MDH 2ND FLOOR, TAMPA, FL 33601 -

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-04-30
Florida Limited Liability 2021-06-11

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Date of last update: 02 Jul 2025

Sources: Florida Department of State