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ADVANCED SURGICAL CARE OF LUTZ, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
CT Corporation System Agent 18051 HIGHWOODS PRESERVE PKWY, TAMPA, FL 33647-1761

President

Name Role Address
Bressman, Sara President 18051 HIGHWOODS PRESERVE PKWY, TAMPA, FL 33647-1761

Administrator

Name Role Address
Bass, Christina Holmes Administrator 18051 HIGHWOODS PRESERVE PKWY, TAMPA, FL 33647-1761

Manager

Name Role Address
Levin, Stephen F Manager 20111 Pond Spring Way, Tampa, FL 33647

Chief Executive Officer

Name Role Address
Beltran-Walshe, Maria Chief Executive Officer 16121 Colchester Palms Dr, Tampa, FL 33647

Vice President

Name Role Address
Kluesner, Ellen Vice President 18051 HIGHWOODS PRESERVE PKWY, TAMPA, FL 33647-1761

Authorized Representative

Name Role Address
Sims, Karen Authorized Representative 14201 Dallas Pkwy, Dallas, TX 75254

Fictitious Names

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

Events

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

Documents

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