| Entity Name: | GA SURGICALIST LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Jan 2022 (3 years ago) |
| Document Number: | L22000014647 |
| FEI/EIN Number | 87-4553256 |
| Mail Address: | P.O. BOX 21647, TAMPA, FL, 33622, US |
| Address: | 550 N. REO STREET STE 300, TAMPA, FL, 33609, US |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205580875 | 2022-02-11 | 2022-02-11 | PO BOX 21647, TAMPA, FL, 336221647, US | 17222 HOSPITAL BLVD STE 116, BROOKSVILLE, FL, 346018925, US | |||||||||||||||
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| Phone | +1 813-530-5043 |
| Phone | +1 813-866-1959 |
Authorized person
| Name | DR. MIT DESAI |
| Role | MANAGER |
| Phone | 8135305043 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MIT DESAI, M.D. | Agent | 550 N. REO STREET STE 300, TAMPA, FL, 33609 |
| Name | Role | Address |
|---|---|---|
| DAVID TERRY, D.O. | Manager | 550 N. REO STREET STE 300, TAMPA, FL, 33609 |
| MIT DESAI, M.D. | Manager | 550 N. REO STREET STE 300, TAMPA, FL, 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-13 | 550 N. REO STREET STE 300, TAMPA, FL 33609 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-13 | 550 N. REO STREET STE 300, TAMPA, FL 33609 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-16 |
| ANNUAL REPORT | 2023-02-13 |
| Florida Limited Liability | 2022-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
