Entity Name: | ADVANCED SURGICAL CARE OF LUTZ, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 25 Jun 2021 (4 years ago) |
Last Event: | LC STMNT OF RA/RO CHG |
Event Date Filed: | 27 Oct 2022 (2 years ago) |
Document Number: | L21000295400 |
FEI/EIN Number | 87-1390521 |
Mail Address: | 14201 DALLAS PKWY, FL 13, Dallas, TX 75254 |
Address: | 18051 HIGHWOODS PRESERVE PKWY, TAMPA, FL 33647-1761 |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1144954165 | 2022-07-14 | 2024-10-24 | 18051 HIGHWOODS PRESERVE PKWY, TAMPA, FL, 336471761, US | 18051 HIGHWOODS PRESERVE PKWY, TAMPA, FL, 336471761, US | |||||||||||||
|
Phone | +1 321-276-9002 |
Authorized person
Name | COLLIN LEMAISTRE |
Role | OFFICER/AUTHORIZED OFFICIAL |
Phone | 2143213207 |
Taxonomy
Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CT Corporation System | Agent | 18051 HIGHWOODS PRESERVE PKWY, TAMPA, FL 33647-1761 |
Name | Role | Address |
---|---|---|
Bressman, Sara | President | 18051 HIGHWOODS PRESERVE PKWY, TAMPA, FL 33647-1761 |
Name | Role | Address |
---|---|---|
Bass, Christina Holmes | Administrator | 18051 HIGHWOODS PRESERVE PKWY, TAMPA, FL 33647-1761 |
Name | Role | Address |
---|---|---|
Levin, Stephen F | Manager | 20111 Pond Spring Way, Tampa, FL 33647 |
Name | Role | Address |
---|---|---|
Beltran-Walshe, Maria | Chief Executive Officer | 16121 Colchester Palms Dr, Tampa, FL 33647 |
Name | Role | Address |
---|---|---|
Kluesner, Ellen | Vice President | 18051 HIGHWOODS PRESERVE PKWY, TAMPA, FL 33647-1761 |
Name | Role | Address |
---|---|---|
Sims, Karen | Authorized Representative | 14201 Dallas Pkwy, Dallas, TX 75254 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G22000097169 | ADVANCED SURGICAL CARE OF NEW TAMPA | ACTIVE | 2022-08-17 | 2027-12-31 | No data | 18051 HIGHWOODS PRESERVE PKWY, TAMPA, FL, 33647 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2024-02-29 | 18051 HIGHWOODS PRESERVE PKWY, TAMPA, FL 33647-1761 | No data |
REGISTERED AGENT NAME CHANGED | 2024-02-29 | CT Corporation System | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-02-05 | 18051 HIGHWOODS PRESERVE PKWY, TAMPA, FL 33647-1761 | No data |
LC STMNT OF RA/RO CHG | 2022-10-27 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2022-10-27 | 18051 HIGHWOODS PRESERVE PKWY, TAMPA, FL 33647-1761 | No data |
Name | Date |
---|---|
AMENDED ANNUAL REPORT | 2024-02-29 |
ANNUAL REPORT | 2024-02-05 |
ANNUAL REPORT | 2023-04-04 |
CORLCRACHG | 2022-10-27 |
AMENDED ANNUAL REPORT | 2022-07-13 |
ANNUAL REPORT | 2022-03-22 |
Florida Limited Liability | 2021-06-25 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State