| Entity Name: | ORANGE AVENUE SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Oct 2021 (3 years ago) |
| Document Number: | L21000457336 |
| FEI/EIN Number | 87-3257002 |
| Address: | 1405 S. Orange Avenue, Suite 120, ORLANDO, FL 32806 |
| Mail Address: | 102 W. Pineloch Ave., Suite 23, ORLANDO, FL 32806 |
| ZIP code: | 32806 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790442895 | 2021-11-23 | 2021-11-24 | 1405 S ORANGE AVE STE 102, ORLANDO, FL, 328062147, US | 1405 S ORANGE AVE STE 102, ORLANDO, FL, 328062147, US | |||||||||||||
|
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| Phone | +1 321-228-6700 |
Authorized person
| Name | MISS JAN DIEDRICH |
| Role | VICE PRESIDENT |
| Phone | 3218418199 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ZIKA, RYAN | Agent | 207 W. Gore St., Suite 201, ORLANDO, FL 32806 |
| Name | Role | Address |
|---|---|---|
| Heeter, Colleen | Authorized Representative | 1414 KUHL AVE., MP 2, ORLANDO, FL 32806 |
| OHE, GREG | Authorized Representative | 1414 KUHL AVE., MP 2, ORLANDO, FL 32806 |
| Nichols, Cynthia | Authorized Representative | 1414 KUHL AVE., MP2, ORLANDO, FL 32806 |
| Name | Role |
|---|---|
| OH AMBULATORY SERVICES MANAGEMENT, LLC | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000162024 | ORANGE AVENUE SURGERY CENTER | ACTIVE | 2021-12-07 | 2026-12-31 | No data | 1414 KUHL AVE., MP 2, ORLANDO, FL, 32806 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-08 | 1405 S. Orange Avenue, Suite 120, ORLANDO, FL 32806 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-27 | 1405 S. Orange Avenue, Suite 120, ORLANDO, FL 32806 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-16 | 207 W. Gore St., Suite 201, ORLANDO, FL 32806 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-04-06 |
| AMENDED ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2022-03-16 |
| Florida Limited Liability | 2021-10-20 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
