| Entity Name: | TAMARAC SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
TAMARAC 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. |
| 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: | 17 Nov 1999 (25 years ago) |
| Document Number: | L99000007876 |
| FEI/EIN Number |
65-0963549
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 14201 DALLAS PKWY, FL 13, Dallas, TX, 75254, US |
| Address: | 4485 NORTH STATE ROAD 7, LAUDERDALE LAKES, FL, 33319 |
| ZIP code: | 33319 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265466288 | 2006-07-10 | 2024-10-24 | 4485 N STATE ROAD 7, LAUDERDALE LAKES, FL, 333195876, US | 4485 N STATE ROAD 7, LAUDERDALE LAKES, FL, 333195876, US | |||||||||||||||||||||||||||||||
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| Phone | +1 954-735-0096 |
| Fax | 9547358212 |
Authorized person
| Name | COLLIN LEMAISTRE |
| Role | OFFICER/AUTHORIZED OFFICIAL |
| Phone | 4692503640 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1074 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0023073 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | 490004691 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| OZAKTAY AMET MD | Vice President | 4485 NORTH STATE ROAD 7, LAUDERDALE LAKES, FL, 33319 |
| TARBLE BEN MD | RVP | 14201 Dallas Parkway, Dallas, TX, 75254 |
| Bowden James | Secretary | 14201 DALLAS PKWY, Dallas, TX, 75254 |
| C T CORPORATION SYSTEM | Agent | - |
| LANES GERARDO M | Manager | 4485 NORTH STATE ROAD 7, LAUDERDALE LAKES, FL, 33319 |
| STEPHEN LIPKIN M | Manager | 4485 NORTH STATE ROAD 7, LAUDERDALE LAKES, FL, 33319 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000130842 | THE SURGERY CENTER OF FT LAUDERDALE | ACTIVE | 2021-09-29 | 2026-12-31 | - | 4485 NORTH STATE ROAD 7, LAUDERDALE LAKES, FL, 33319 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-04-20 | 4485 NORTH STATE ROAD 7, LAUDERDALE LAKES, FL 33319 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-20 | 1200 South Pine Island Road, Plantation, FL 33324 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2008-01-23 | 4485 NORTH STATE ROAD 7, LAUDERDALE LAKES, FL 33319 | - |
| REGISTERED AGENT NAME CHANGED | 2004-12-01 | C T CORPORATION SYSTEM | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-01-31 |
| AMENDED ANNUAL REPORT | 2021-07-29 |
| ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2020-06-20 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-03-30 |
| ANNUAL REPORT | 2017-01-09 |
| AMENDED ANNUAL REPORT | 2016-04-12 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 338006612 | 0418800 | 2012-12-21 | 4485 NORTH STATE ROAD 7, LAUDERDALE LAKES, FL, 33319 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Citation ID | 01001 |
| Citaton Type | Other |
| Standard Cited | 19101030 C01 IV B |
| Issuance Date | 2013-02-08 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Nr Instances | 1 |
| Nr Exposed | 25 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1030(c)(1)(iv)(B): The review and update of the exposure control plan did not document annually consideration and implementation of appropriate commercially available and effective safer medical devices designed to eliminate or minimize occupational exposure: On 12-21-12, at the facility located at 4485 North State Road 7, Lauderdale Lakes, FL, the employer did not document consideration and implementation of commercially available sharps within the exposure control plan. |
| Citation ID | 01002 |
| Citaton Type | Other |
| Standard Cited | 19101030 C01 V |
| Issuance Date | 2013-02-08 |
| Abatement Due Date | 2013-03-07 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Nr Instances | 1 |
| Nr Exposed | 38 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1030(c)(1)(v): The employer, who is required to establish an Exposure Control Plan, solicited input from non-managerial employees responsible for direct patient care who are potentially exposed to injuries from contaminated sharps in the identification, evaluation and selection of effective engineering and work practice controls and did not document the solicitation in the Exposure Control plan: On 12-21-12, at the facility located at 4485 North State Road 7, Lauderdale Lakes, FL, the employer did not document the solicitation from non-managerial employees regarding the identification, evaluation, and the selection of safer medical devices in the Exposure Control Plan. |
| Citation ID | 01003 |
| Citaton Type | Other |
| Standard Cited | 19101030 C02 I |
| Issuance Date | 2013-02-08 |
| Abatement Due Date | 2013-03-07 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Nr Instances | 1 |
| Nr Exposed | 25 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1030(c)(2)(i): The employer's exposure determination did not include the information required in 29 CFR 1910.1030(c)(2)(i)(A) through (c)(2)(i)(C): On 12-21-12, at the facility located at 4485 North State Road 7, Lauderdale Lakes, FL, the employer's exposure control plan included an exposure determination that did not identify the specific job classifications. |
Date of last update: 02 May 2025
Sources: Florida Department of State
