| Entity Name: | NCH BONITA AMBULATORY SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Dec 2021 (3 years ago) |
| Document Number: | L21000510579 |
| FEI/EIN Number | 87-3854125 |
| Address: | 350 7TH STREET NORTH, NAPLES, FL, 34102, US |
| Mail Address: | 350 7TH STREET NORTH, NAPLES, FL, 34102, US |
| ZIP code: | 34102 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609537992 | 2022-01-07 | 2024-06-05 | 24040 S TAMIAMI TRL STE 201, BONITA SPRINGS, FL, 341347040, US | 24040 S TAMIAMI TRL STE 201, BONITA SPRINGS, FL, 341347040, US | |||||||||||||
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| Phone | +1 239-624-6930 |
Authorized person
| Name | MRS. TRINA FAGER |
| Role | BOARD MEMBER/ADMINISTRATOR |
| Phone | 2396246946 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| CIK number | Mailing Address | Business Address | Phone | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1939741 | 11221 ROE AVE, LEAWOOD, KS, 66211 | 11221 ROE AVE, LEAWOOD, KS, 66211 | 913-387-0679 | |||||||||
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| Form type | D |
| File number | 021-453723 |
| Filing date | 2022-07-26 |
| File | View File |
| Name | Role | Address |
|---|---|---|
| HEINLE MATTHEW | Agent | 350 7TH STREET NORTH, NAPLES, FL, 34102 |
| Name | Role | Address |
|---|---|---|
| Kling Jonathan | Manager | 350 7TH STREET NORTH, NAPLES, FL, 34102 |
| Quintero Carlos MD | Manager | 350 7th Street North, Naples, FL, 34102 |
| PALMA MAGALI | Manager | 350 7th Street North, Naples, FL, 34102 |
| RIKER ADAM | Manager | 350 7th Street North, Naples, FL, 34102 |
| Kling Jonathan MD | Manager | 350 7th Street North, Naples, FL, 34102 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-06-27 | HEINLE, MATTHEW | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-06-27 | 350 7TH STREET NORTH, NAPLES, FL 34102 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-04 | 350 7TH STREET NORTH, NAPLES, FL 34102 | No data |
| CHANGE OF MAILING ADDRESS | 2024-06-04 | 350 7TH STREET NORTH, NAPLES, FL 34102 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-07-23 |
| AMENDED ANNUAL REPORT | 2024-06-27 |
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-26 |
| Florida Limited Liability | 2021-12-02 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
