| Entity Name: | ADVANCED SURGICAL CARE OF LAKE NONA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Feb 2022 (3 years ago) |
| Document Number: | L22000061509 |
| FEI/EIN Number | 88-0848626 |
| Address: | 12904 Sunstone Avenue, Suite 101, Orlando, FL 32832 |
| Mail Address: | 12904 Sunstone Avenue, Suite 101, Orlando, FL 32832 |
| ZIP code: | 32832 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912747502 | 2024-05-30 | 2024-08-13 | 12904 SUNSTONE AVE, SUITE 101, ORLANDO, FL, 32832, US | 12904 SUNSTONE AVE, SUITE 101, ORLANDO, FL, 32832, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 708-275-7799 |
Authorized person
| Name | MELISSA MCSHERRY |
| Role | DIRECTOR OF OPERATIONS |
| Phone | 7082757799 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Mccormick, Kaleigh | Agent | 12904 Sunstone Avenue, Suite 101, Orlando, FL 32832 |
| Name | Role | Address |
|---|---|---|
| Sood, Vivek, Dr. | Manager | 800 Belle Terre Parkway, Unit 200-329 Palm Coast, FL 32164 |
| Name | Role | Address |
|---|---|---|
| Mccormick, Kaleigh | Authorized Representative | 12904 Sunstone Avenue, Suite 101 Orlando, FL 32832 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-23 | 12904 Sunstone Avenue, Suite 101, Orlando, FL 32832 | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-23 | 12904 Sunstone Avenue, Suite 101, Orlando, FL 32832 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-08-23 | Mccormick, Kaleigh | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-08-23 | 12904 Sunstone Avenue, Suite 101, Orlando, FL 32832 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-08-23 |
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-03-28 |
| Florida Limited Liability | 2022-02-04 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
