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NORTHWEST FLORIDA SURGICAL CENTER, LLC - Florida Company Profile

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Company Details

Entity Name: NORTHWEST FLORIDA SURGICAL CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Oct 2022 (3 years ago)
Last Event: CONVERSION
Event Date Filed: 26 Oct 2022 (3 years ago)
Document Number: L22000469192
FEI/EIN Number 59-3081991
Address: 4600 N DAVIS HWY, PENSACOLA, FL, 32503, US
Mail Address: 4600 N DAVIS HWY, PENSACOLA, FL, 32503, US
ZIP code: 32503
City: Pensacola
County: Escambia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HARBOUR ROBERT Manager 6190 N DAVIS HWY, PENSACOLA, FL, 32504
WOLFF CHARLES Manager 8333 N DAVIS HWY 10TH FL, PENSACOLA, FL, 32514
MCKNIGHT GEORGE T Agent 6190 N DAVIS HWY, PENSACOLA, FL, 32504
MCKNIGHT G. TIPTON Manager 6190 N DAVIS HWY, PENSACOLA, FL, 32504

National Provider Identifier

NPI Number:
1033113402
Certification Date:
2024-01-17

Authorized Person:

Name:
DR. GEORGE TIPTON MCKNIGHT
Role:
MEDICAL DIRECTOR/ OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8504940065

Form 5500 Series

Employer Identification Number (EIN):
593081991
Plan Year:
2024
Number Of Participants:
47
Sponsors DBA Name:
NORTH FLORIDA SURGERY CENTER
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
44
Sponsors DBA Name:
NORTH FLORIDA SURGERY CENTER
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
33
Sponsors DBA Name:
NORTH FLORIDA SURGERY CENTER
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
38
Sponsors DBA Name:
NORTH FLORIDA SURGERY CENTER
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
42
Sponsors DBA Name:
NORTH FLORIDA SURGERY CENTER
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2025-07-28 - -
CONVERSION 2022-10-26 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS S76742. CONVERSION NUMBER 900000232439

Documents

Name Date
ANNUAL REPORT 2024-04-04
ANNUAL REPORT 2023-04-06
Florida Limited Liability 2022-10-26

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Date of last update: 01 Aug 2025

Sources: Florida Department of State