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WINTER GARDEN SURGERY CENTER, LLC - Florida Company Profile

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Company Details

Entity Name: WINTER GARDEN SURGERY CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 Aug 2021 (4 years ago)
Document Number: L21000377465
FEI/EIN Number 87-2451164
Address: 15520 W. Colonial Drive, Winter Garden, FL, 34787, US
Mail Address: 102 W. Pineloch Ave., ORLANDO, FL, 32806, US
ZIP code: 34787
City: Winter Garden
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Ohe Greg Auth 1414 KUHL AVE, ORLANDO, FL, 32806
Ladd Jason Auth 1414 KUHL AVE, ORLANDO, FL, 32806
Sewell Lance Auth 1414 KUHL AVE, ORLANDO, FL, 32806
Heeter Colleen Auth 1414 KUHL AVE, ORLANDO, FL, 32806
Brahmbhatt MD Jamin Auth 1414 KUHL AVE, ORLANDO, FL, 32806
ZIKA RYAN Agent 207 W. Gore St., Suite 201, ORLANDO, FL, 32806
- Manager -

National Provider Identifier

NPI Number:
1891457099
Certification Date:
2023-12-08

Authorized Person:

Name:
GREG OHE
Role:
SENIOR VICE PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000115644 WINTER GARDEN SURGERY CENTER ACTIVE 2021-09-08 2026-12-31 - 1414 KUHL AVE, MP2, ORLANDO, FL, 32806

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-12-21 15520 W. Colonial Drive, Winter Garden, FL 34787 -
CHANGE OF MAILING ADDRESS 2023-12-21 15520 W. Colonial Drive, Winter Garden, FL 34787 -
REGISTERED AGENT ADDRESS CHANGED 2022-03-16 207 W. Gore St., Suite 201, ORLANDO, FL 32806 -

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-04-06
ANNUAL REPORT 2022-03-16
Florida Limited Liability 2021-08-23

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Date of last update: 02 Jul 2025

Sources: Florida Department of State