| Entity Name: | CLINIC SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Jul 2022 (3 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 04 Aug 2022 (2 years ago) |
| Document Number: | L22000300408 |
| FEI/EIN Number | 88-3196649 |
| Mail Address: | 1414 KUHL AVE., MP 2, ORLANDO, FL 32806 |
| Address: | 2407 Cypress Ridge Boulevard, Wesley Chapel, FL 33544 |
| ZIP code: | 33544 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720033293 | 2006-05-23 | 2023-05-03 | 2407 CYPRESS RIDGE BOULEVARD, WESLEY CHAPEL, FL, 335440004, US | 2407 CYPRESS RIDGE BOULEVARD, WESLEY CHAPEL, FL, 335440004, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 813-991-7575 |
| Fax | 8133355085 |
Authorized person
| Name | GREGORY P OHE |
| Role | PRESIDENT/BOARD MEMBER OF CLINIC SU |
| Phone | 3218432355 |
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 |
|---|---|
| HEALTHNET SERVICES, INC. | Authorized Member |
| Name | Role | Address |
|---|---|---|
| Ohe, Greg | Authorized Representative | 1414 KUHL AVE., MP 2, ORLANDO, FL 32806 |
| Rosenbaum, Vic | Authorized Representative | 1414 KUHL AVE., MP 2, ORLANDO, FL 32806 |
| MOORE -JOHN- INC | Authorized Representative | No data |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000148986 | NEW TAMPA SURGERY CENTER | ACTIVE | 2022-12-05 | 2027-12-31 | No data | 1414 KUHL AVE., MP 2, ORLANDO, FL, 32806 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-11 | 2407 Cypress Ridge Boulevard, Wesley Chapel, FL 33544 | No data |
| LC AMENDMENT AND NAME CHANGE | 2022-08-04 | CLINIC SURGERY CENTER, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| AMENDED ANNUAL REPORT | 2023-04-06 |
| AMENDED ANNUAL REPORT | 2023-03-28 |
| ANNUAL REPORT | 2023-01-11 |
| LC Amendment and Name Change | 2022-08-04 |
| Florida Limited Liability | 2022-07-05 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
