| Entity Name: | WATSON CLINIC ASC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
WATSON CLINIC ASC, 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. |
| 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: | 25 Oct 2023 (a year ago) |
| Document Number: | L23000486890 |
| FEI/EIN Number |
93-4728316
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1315 N Florida Ave., LAKELAND, FL, 33805-4502, US |
| Mail Address: | 1430 LAKELAND HILLS BLVD, LAKELAND, FL, 33805, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154199859 | 2023-12-13 | 2023-12-13 | 1600 LAKELAND HILLS BLVD, LAKELAND, FL, 338053019, US | 1315 N FLORIDA AVE, LAKELAND, FL, 338054502, US | |||||||||||||||
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| Phone | +1 863-680-7000 |
| Fax | 8662648519 |
Authorized person
| Name | JASON HIRSBRUNNER |
| Role | CAO |
| Phone | 8636807007 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Roth William Dr. | Chief Executive Officer | 1430 Lakeland Hills Blvd, Lakeland, FL, 33805 |
| Hirsbrunner Jason | Chie | 1430 Lakeland Hills Blvd, Lakeland, FL, 33805 |
| Pernicano Keith | Secretary | 1430 LAKELAND HILLS BLVD, LAKELAND, FL, 33805 |
| Roth William Dr. | Agent | 1430 LAKELAND HILLS BLVD, LAKELAND, FL, 33805 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000143777 | WATSON CLINIC SURGERY CENTER | ACTIVE | 2023-11-28 | 2028-12-31 | - | 1430 LAKELAND HILLS BLVD, LAKELAND, FL, 33805 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-05 | 1315 N Florida Ave., LAKELAND, FL 33805-4502 | - |
| REGISTERED AGENT NAME CHANGED | 2024-02-05 | Roth, William Dr. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| Florida Limited Liability | 2023-10-25 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
