| Entity Name: | ADVENTHEALTH SURGERY CENTER INNOVATION TOWER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Jun 2022 (3 years ago) |
| Document Number: | L22000239968 |
| FEI/EIN Number | 88-2744377 |
| Address: | 265 E. Rollins Street,, Suite 3100, ORLANDO, FL 32804 |
| Mail Address: | 265 E. Rollins Street,, Suite 3100, ORLANDO, FL 32804 |
| ZIP code: | 32804 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346969789 | 2022-08-26 | 2023-06-29 | 265 E. ROLLINS STREET, 4TH FLOOR SUITE 4500, ORLANDO, FL, 32804, US | 265 E. ROLLINS STREET, 4TH FLOOR SUITE 4500, ORLANDO, FL, 32804, US | |||||||||||||
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| Phone | +1 407-200-3706 |
Authorized person
| Name | PATTY SHOULTS |
| Role | EXECUTIVE DIRECTOR |
| Phone | 4072003706 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| CIK number | Mailing Address | Business Address | Phone | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1978920 | 265 E. ROLLINS STREET, SUITE 3100, ORLANDO, FL, 32804 | 265 E. ROLLINS STREET, SUITE 3100, ORLANDO, FL, 32804 | 407-303-9366 | |||||||||
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| Form type | D |
| File number | 021-489295 |
| Filing date | 2023-08-10 |
| File | View File |
| Name | Role | Address |
|---|---|---|
| JEFF BROMME | Agent | 900 HOPE WAY,, ALTAMONTE SPRINGS, FL 32714 |
| Name | Role | Address |
|---|---|---|
| Roque, Henry R | Authorized Representative | 550 East Rollins St, 6th Floor Orlando, FL 32803 |
| Name | Role | Address |
|---|---|---|
| Thompson, Michael J | Authorized Member | 265 E Rollins St, Orlando, FL 32804 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000137823 | ADVENTHEALTH SURGERY CENTER INNOVATION TOWER | ACTIVE | 2022-11-04 | 2027-12-31 | No data | 265 E ROLLINS STREET, SUITE 4500, ORLANDO, FL, 32804 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-21 | 265 E. Rollins Street,, Suite 3100, ORLANDO, FL 32804 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-21 | 265 E. Rollins Street,, Suite 3100, ORLANDO, FL 32804 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| AMENDED ANNUAL REPORT | 2023-03-21 |
| AMENDED ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2023-02-24 |
| Florida Limited Liability | 2022-06-02 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
