| Entity Name: | LAKELAND REGIONAL HEALTH SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Oct 2023 (a year ago) |
| Document Number: | L23000477647 |
| FEI/EIN Number | 93-4616298 |
| Address: | 1324 LAKELAND HILLS BOULEVARD, LAKELAND, FL 33805 |
| Mail Address: | 1324 LAKELAND HILLS BOULEVARD, LAKELAND, FL 33805 |
| ZIP code: | 33805 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588427991 | 2024-01-31 | 2024-01-31 | 1324 LAKELAND HILLS BLVD, LAKELAND, FL, 338054543, US | 818 GRIFFIN RD, LAKELAND, FL, 338052440, US | |||||||||||||||
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| Phone | +1 863-687-1100 |
| Phone | +1 863-687-0566 |
Authorized person
| Name | LANCE GREEN |
| Role | EVP/CFO |
| Phone | 8636871100 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HOPPE, JOHN D | Agent | 1324 LAKELAND HILLS BOULEVARD, LAKELAND, FL 33805 |
| Name | Role | Address |
|---|---|---|
| DRUMMOND, DANIELLE | Manager | 1324 LAKELAND HILLS BOULEVARD, LAKELAND, FL 33805 |
| GREEN, LANCE | Manager | 1324 LAKELAND HILLS BOULEVARD, LAKELAND, FL 33805 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000151248 | GRIFFIN ROAD CAMPUS OF LSDC | ACTIVE | 2023-12-13 | 2028-12-31 | No data | 1324 LAKELAND HILLS BOULEVARD, LAKELAND, FL, 33805 |
| G23000151244 | LAKELAND REGIONAL HEALTH SURGERY CENTER | ACTIVE | 2023-12-13 | 2028-12-31 | No data | 1324 LAKELAND HILLS BOULEVARD, LAKELAND, FL, 33805 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| Florida Limited Liability | 2023-10-18 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
