| Entity Name: | THE SARASOTA ENDOSCOPY ASC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| 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: | 11 Feb 2000 (25 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 31 Aug 2017 (8 years ago) |
| Document Number: | M00000000274 |
| FEI/EIN Number |
621806248
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2800 BAHIA VISTA ST, SARASOTA, FL, 34239, US |
| Mail Address: | 2800 BAHIA VISTA ST, SARASOTA, FL, 34239, US |
| ZIP code: | 34239 |
| County: | Sarasota |
| Place of Formation: | TENNESSEE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346213634 | 2006-02-08 | 2023-09-07 | 2800 BAHIA VISTA ST, SUITE 300, SARASOTA, FL, 342392742, US | 2800 BAHIA VISTA ST, SUITE 300, SARASOTA, FL, 342392742, US | |||||||||||||||||||||||||
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| Phone | +1 941-373-9808 |
| Fax | 9413739818 |
Authorized person
| Name | MR. PHILLIP A CLENDENIN |
| Role | PRESIDENT |
| Phone | 6156651283 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1112 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 070806200 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BAYVIEW SURGERY CENTER 401(K) PLAN | 2023 | 621806248 | 2024-09-20 | THE SARASOTA ENDOSCOPY ASC, LLC | 12 | |||||||||||||
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| BAYVIEW SURGERY CENTER 401(K) PLAN | 2022 | 621806248 | 2023-09-21 | THE SARASOTA ENDOSCOPY ASC, LLC | 9 | |||||||||||||
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| BAYVIEW SURGERY CENTER 401(K) PLAN | 2021 | 621806248 | 2022-09-23 | THE SARASOTA ENDOSCOPY ASC, LLC | 12 | |||||||||||||
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| Name | Role |
|---|---|
| BAYVIEW SURGI-GROUP, INC. | Managing Member |
| BAYVIEW SURGI-GROUP, INC. | Agent |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000046294 | BAYVIEW SURGERY CENTER | ACTIVE | 2012-05-18 | 2027-12-31 | - | 2800 BAHIA VISTA ST, STE 300, SARASOTA, FL, 34239 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2017-09-07 | 2800 BAHIA VISTA ST, STE 300, SARASOTA, FL 34239 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-09-01 | 2800 BAHIA VISTA ST, STE 300, SARASOTA, FL 34239 | - |
| LC STMNT OF RA/RO CHG | 2017-08-31 | - | - |
| REGISTERED AGENT NAME CHANGED | 2017-08-31 | BAYVIEW SURGI-GROUP, INC. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-08-31 | 2800 BAHIA VISTA ST, STE 300, SARASOTA, FL 34239 | - |
| LC STMNT OF RA/RO CHG | 2017-05-17 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-30 |
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-04-03 |
| CORLCRACHG | 2017-08-31 |
| CORLCRACHG | 2017-05-17 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1590637108 | 2020-04-10 | 0455 | PPP | 2800 Bahia Vista, Suite 300, SARASOTA, FL, 34239-2710 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3173569003 | 2021-05-18 | 0455 | PPS | 2800 Bahia Vista St Ste 300, Sarasota, FL, 34239-2710 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Mar 2025
Sources: Florida Department of State
