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WIREGRASS RANCH ASC HOLDINGS, LLC - Florida Company Profile

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Company Details

Entity Name: WIREGRASS RANCH ASC HOLDINGS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Jan 2024 (2 years ago)
Document Number: L24000038048
FEI/EIN Number 991010158
Address: 14547 BRUCE B DOWNS BLVD, TAMPA, FL, 33613, US
Mail Address: 14547 BRUCE B DOWNS BLVD, TAMPA, FL, 33613, US
ZIP code: 33613
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SOOD GAURAV Authorized Representative 1414 KUHL AVE. MP 2, ORLANDO, FL, 32806
- Authorized Member -
MOORE JOHN Authorized Representative 1414 KUHL AVE. MP 2, ORLANDO, FL, 32806
ZIKA RYAN Agent 207 W GORE, ORLANDO, FL, 32806

National Provider Identifier

NPI Number:
1851467740
Certification Date:
2025-01-06

Authorized Person:

Name:
GAURAV SOOD
Role:
VP OF AMBULATORY SURGERY CENTERS
Phone:

Taxonomy:

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

Contacts:

Fax:
8137809773
Fax:
8137154150

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000047328 WIREGRASS RANCH AMBULATORY SURGERY CENTER ACTIVE 2024-04-08 2029-12-31 - 14547 BRUCE B DOWNS BLVD, TAMPA, FL, 33613
G24000047332 WIREGRASS RANCH SPECIAL PROCEDURES CENTER ACTIVE 2024-04-08 2029-12-31 - 38135 MARKET SQUARE DRIVE, SUITE 115, ZEPHYRHILLS, FL, 33542

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-05-22 14547 BRUCE B DOWNS BLVD, TAMPA, FL 33613 -

Documents

Name Date
Florida Limited Liability 2024-01-19

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Date of last update: 03 Jul 2025

Sources: Florida Department of State