| Entity Name: | THE SURGERY CENTER OF OCALA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Feb 2000 (25 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 27 Jan 2016 (9 years ago) |
| Document Number: | M00000000382 |
| FEI/EIN Number | 621808594 |
| Mail Address: | 340 SEVEN SPRINGS WAY, BRENTWOOD, TN, 37027, US |
| Address: | Suite 600 340 Seven Springs Way, Brentwood, TN, 37027, US |
| Place of Formation: | TENNESSEE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457354300 | 2005-05-24 | 2023-02-21 | 3241 SW 34TH ST, OCALA, FL, 344747439, US | 3241 SW 34TH ST, OCALA, FL, 344747439, US | |||||||||||||||||||||||||
|
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| Phone | +1 352-237-5906 |
| Fax | 3522375785 |
Authorized person
| Name | JENNIFER BOYD BALDOCK |
| Role | OFFICER AND AUTHORIZED OFFICIAL |
| Phone | 6152345954 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 800010030 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 079199700 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| BALDOCK JENNIFER | Manager | Suite 600 340 Seven Springs Way, Brentwood, TN, 37027 |
| Name | Role | Address |
|---|---|---|
| O'Brien Jeff | Vice President | Suite 600 340 Seven Springs Way, Brentwood, TN, 37027 |
| Doherty Dave | Vice President | Suite 600 340 Seven Springs Way, Brentwood, TN, 37027 |
| Kennedy Brett | Vice President | Suite 600 340 Seven Springs Way, Brentwood, TN, 37027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-20 | Suite 600 340 Seven Springs Way, Brentwood, TN 37027 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-24 | Suite 600 340 Seven Springs Way, Brentwood, TN 37027 | No data |
| LC STMNT OF RA/RO CHG | 2016-01-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-01-27 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-01-27 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-20 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-03-01 |
| ANNUAL REPORT | 2018-01-25 |
| AMENDED ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
