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BAPTIST SOUTH SURGERY CENTER LLC - Florida Company Profile

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Company Details

Entity Name: BAPTIST SOUTH SURGERY CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

BAPTIST SOUTH SURGERY CENTER LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 21 Dec 2022 (3 years ago)
Document Number: L22000533274
FEI/EIN Number 92-1168204

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 14540 OLD ST. AUGUSTINE ROAD, MEDICAL OFFICE BUILDING 2, JACKSONVILLE, FL, 32258, US
Mail Address: 14540 OLD ST. AUGUSTINE ROAD, MEDICAL OFFICE BUILDING 2, JACKSONVILLE, FL, 32258, US
ZIP code: 32258
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BAPTIST - COMPASS SURGICAL VENTURES, LLC Auth -
PAVILION HEALTH SERVICES, INC. Auth -
TICKELL KEITH Agent 841 PRUDENTIAL DRIVE, JACKSONVILLE, FL, 32207

National Provider Identifier

NPI Number:
1952017832
Certification Date:
2024-10-22

Authorized Person:

Name:
CATHERINE GRAHAM
Role:
SVP, CLIN SVC LN & AMB BUS DEV
Phone:

Taxonomy:

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

Contacts:

Fax:
9046182159

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000107330 HORIZON SURGERY CENTER SOUTH ACTIVE 2023-09-07 2028-12-31 - 14540 OLD ST. AUGUSTINE ROAD, MOB BLDG 2, JACKSONVILLE, FL, 32258
G23000082693 HORIZON SURGERY CENTER ACTIVE 2023-07-13 2028-12-31 - 1577 ROBERTS DRIVE, JACKSONVILLE BEACH, FL, 32250

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-03 14540 OLD ST. AUGUSTINE ROAD, MEDICAL OFFICE BUILDING 2, JACKSONVILLE, FL 32258 -

Documents

Name Date
ANNUAL REPORT 2024-04-08
ANNUAL REPORT 2023-04-03
Florida Limited Liability 2022-12-21

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Date of last update: 02 Jun 2025

Sources: Florida Department of State