| Entity Name: | ORTHOPAEDIC SURGERY CENTER OF CLEARWATER, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
ORTHOPAEDIC SURGERY CENTER OF CLEARWATER, L.L.C. 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 26 Aug 1999 (26 years ago) |
| Date of dissolution: | 24 Sep 2021 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (4 years ago) |
| Document Number: | L99000005327 |
| FEI/EIN Number |
593594816
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 402 JEFFORDS STREET, CLEARWATER, FL, 33756 |
| Mail Address: | 402 JEFFORDS STREET, CLEARWATER, FL, 33756 |
| ZIP code: | 33756 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982788071 | 2006-10-25 | 2012-04-30 | 402 JEFFORDS STREET, CLEARWATER, FL, 33756, US | 402 JEFFORDS STREET, CLEARWATER, FL, 33756, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-448-0822 |
| Fax | 7274477044 |
Authorized person
| Name | DANIEL SMITH |
| Role | DIRECTOR OF NURSING |
| Phone | 7274480822 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1122 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AETNA PPO |
| Number | 7544268 |
| State | FL |
| Issuer | MEDICAID |
| Number | 075143000 |
| State | FL |
| Issuer | AETNA HMO |
| Number | 2602599 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | 490005251 |
| State | FL |
| Issuer | STATE LIC. |
| Number | 1122 |
| State | FL |
| Issuer | BCBS |
| Number | 69H |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PIAZZA MICHAEL R | Managing Member | 1011 JEFFORDS STREET, BLDG. D, CLEARWATER, FL, 33756 |
| ROTHBERG MICHAEL L | Managing Member | 430 MORTON PLANT STREET, SUITE 301, CLEARWATER, FL, 33756 |
| WEBB VENUS D | Agent | 402 JEFFORDS ST, CLEARWATER, FL, 33756 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| REINSTATEMENT | 2016-10-24 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2010-04-30 | 402 JEFFORDS ST, CLEARWATER, FL 33756 | - |
| REGISTERED AGENT NAME CHANGED | 2010-04-30 | WEBB, VENUS D | - |
| CHANGE OF MAILING ADDRESS | 2008-01-11 | 402 JEFFORDS STREET, CLEARWATER, FL 33756 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2001-03-13 | 402 JEFFORDS STREET, CLEARWATER, FL 33756 | - |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2021-09-20 |
| ANNUAL REPORT | 2020-04-29 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-03-17 |
| REINSTATEMENT | 2016-10-24 |
| ANNUAL REPORT | 2015-04-28 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-30 |
| CORLCMMRES | 2013-01-09 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
