| Entity Name: | PUTNAM AMBULATORY SURGERY CENTER, 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: | 05 Jan 2005 (20 years ago) |
| Date of dissolution: | 01 May 2015 (10 years ago) |
| Last Event: | LC WITHDRAWAL |
| Event Date Filed: | 01 May 2015 (10 years ago) |
| Document Number: | M05000000077 |
| FEI/EIN Number |
202082396
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 330 Seven Springs Way, Brentwood, TN, 37027, US |
| Mail Address: | 330 Seven Springs Way, Brentwood, TN, 37027, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780771923 | 2006-10-09 | 2008-09-10 | 103 POWELL CT, STE. 200, BRENTWOOD, TN, 370275079, US | 414 ZEAGLER DR, PALATKA, FL, 321773815, US | |||||||||||||||||||
|
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| Phone | +1 615-372-8500 |
| Fax | 6153728572 |
| Phone | +1 386-328-5711 |
| Fax | 3863258178 |
Authorized person
| Name | WILLIAM M. GRACEY |
| Role | COO |
| Phone | 6153728500 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | - |
| Bivacca Donald J | Manager | 330 Seven Springs Way, Brentwood, TN, 37027 |
| Frantz Steve W | Manager | 330 Seven Springs Way, Brentwood, TN, 37027 |
| Teague Kathy | Manager | 330 Seven Springs Way, Brentwood, TN, 37027 |
| Coggin Michael S | Manager | 330 Seven Springs Way, Brentwood, TN, 37027 |
| Green Christy S | Manager | 330 Seven Springs Way, Brentwood, TN, 37027 |
| Monte Christopher J | Manager | 330 Seven Springs Way, Brentwood, TN, 37027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC WITHDRAWAL | 2015-05-01 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2014-05-01 | 330 Seven Springs Way, Brentwood, TN 37027 | - |
| CHANGE OF MAILING ADDRESS | 2014-05-01 | 330 Seven Springs Way, Brentwood, TN 37027 | - |
| Name | Date |
|---|---|
| LC Withdrawal | 2015-05-01 |
| ANNUAL REPORT | 2015-04-11 |
| ANNUAL REPORT | 2014-05-01 |
| ANNUAL REPORT | 2013-01-30 |
| ANNUAL REPORT | 2012-01-05 |
| ANNUAL REPORT | 2011-01-13 |
| ANNUAL REPORT | 2010-04-06 |
| ANNUAL REPORT | 2009-03-18 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-04-18 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
