| Entity Name: | THE TAMARAC ENDOSCOPY ASC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| 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: | 11 Feb 2000 (25 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | M00000000273 |
| FEI/EIN Number |
621810682
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 20 BURTON HILLS BLVD., NASHVILLE, TN, 37215 |
| Mail Address: | 20 BURTON HILLS BLVD., NASHVILLE, TN, 37215 |
| Place of Formation: | TENNESSEE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437122637 | 2006-02-08 | 2009-05-06 | 7481 N UNIVERSITY DR, TAMARAC, FL, 333212971, US | 7481 N UNIVERSITY DR, TAMARAC, FL, 333212971, US | |||||||||||||||||||||||||
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| Phone | +1 954-718-1000 |
| Fax | 9547181012 |
Authorized person
| Name | MS. BILLIE A PAYNE |
| Role | PRESIDENT |
| Phone | 6156651283 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1109 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 070778300 |
| State | FL |
| Name | Role |
|---|---|
| AMSURG HOLDINGS, INC. | Managing Member |
| DIGESTIVE DISEASE ENDOSCOPY CENTER, INC. | Managing Member |
| NRAI SERVICES, INC. | Agent |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2012-09-28 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-11 | 1200 South Pine Island Road, Plantation, FL 33324 | - |
| REGISTERED AGENT NAME CHANGED | 2006-12-26 | NRAI SERVICES, INC | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-02-15 |
| ANNUAL REPORT | 2010-02-18 |
| ANNUAL REPORT | 2009-04-09 |
| ANNUAL REPORT | 2008-05-02 |
| ANNUAL REPORT | 2007-05-04 |
| Reg. Agent Change | 2006-12-26 |
| ANNUAL REPORT | 2006-05-08 |
| ANNUAL REPORT | 2005-05-03 |
| ANNUAL REPORT | 2004-05-04 |
| ANNUAL REPORT | 2003-05-01 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
