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NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC - Florida Company Profile

Company Details

Entity Name: NORTH TAMPA OUTPATIENT SURGICAL FACILITY, 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: 21 Mar 2006 (19 years ago)
Date of dissolution: 23 Sep 2016 (9 years ago)
Last Event: REVOKED FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (9 years ago)
Document Number: M06000001636
FEI/EIN Number 204997768

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 5329 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647
Mail Address: 5329 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647
ZIP code: 33647
County: Hillsborough
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912104787 2007-06-27 2010-02-01 1 TAMPA GENERAL CIR, SUITE A327, TAMPA, FL, 336063571, US 5329 PRIMROSE LAKE CIR, TAMPA, FL, 336473521, US

Contacts

Phone +1 813-844-4396
Fax 8138444972

Authorized person

Name DEVANAND MANGAR
Role OWNER
Phone 8138444396

Taxonomy

Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC 401(K) PLAN 2018 204997768 2019-07-03 NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8138750562
Plan sponsor’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603

Plan administrator’s name and address

Administrator’s EIN 204997768
Plan administrator’s name NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC
Plan administrator’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603
Administrator’s telephone number 8138750562
NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC 401(K) PLAN 2017 204997768 2018-01-09 NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8138750562
Plan sponsor’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603

Plan administrator’s name and address

Administrator’s EIN 204997768
Plan administrator’s name NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC
Plan administrator’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603
Administrator’s telephone number 8138750562
NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC 401(K) PLAN 2016 204997768 2018-01-05 NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8138750562
Plan sponsor’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603

Plan administrator’s name and address

Administrator’s EIN 204997768
Plan administrator’s name NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC
Plan administrator’s address 5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603
Administrator’s telephone number 8138750562
NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC 401(K) PLAN 2015 204997768 2016-10-17 NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8134639762
Plan sponsor’s address 5329 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647

Plan administrator’s name and address

Administrator’s EIN 204997768
Plan administrator’s name NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC
Plan administrator’s address 5329 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647
Administrator’s telephone number 8134639762

Signature of

Role Plan administrator
Date 2016-10-17
Name of individual signing DEVANAND MANGAR MD
Valid signature Filed with authorized/valid electronic signature
NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC 401(K) PLAN 2014 204997768 2015-10-11 NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8134639762
Plan sponsor’s address 5329 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647

Plan administrator’s name and address

Administrator’s EIN 204997768
Plan administrator’s name NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC
Plan administrator’s address 5329 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647
Administrator’s telephone number 8134639762

Signature of

Role Plan administrator
Date 2015-10-11
Name of individual signing DEVANAND MANGAR MD
Valid signature Filed with authorized/valid electronic signature
NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC 401(K) PLAN 2013 204997768 2014-10-10 NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8134639762
Plan sponsor’s address 5329 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647

Plan administrator’s name and address

Administrator’s EIN 204997768
Plan administrator’s name NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC
Plan administrator’s address 5329 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647
Administrator’s telephone number 8134639762

Signature of

Role Plan administrator
Date 2014-10-10
Name of individual signing DEVANAND MANGAR MD
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
NAKANACHI III, LLC Managing Member -
MANGAR DEVANAND Agent 1 TAMPA GENERAL CIRCLE, TAMPA, FL, 33606

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09072900098 NORTH TAMPA OUTPATIENT SURGICAL FACILITY EXPIRED 2009-03-11 2014-12-31 - 5329 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647

Events

Event Type Filed Date Value Description
REVOKED FOR ANNUAL REPORT 2016-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2009-03-11 5329 PRIMROSE LAKE CIRCLE, TAMPA, FL 33647 -
CHANGE OF MAILING ADDRESS 2009-03-11 5329 PRIMROSE LAKE CIRCLE, TAMPA, FL 33647 -
REGISTERED AGENT NAME CHANGED 2009-03-11 MANGAR, DEVANAND -
REGISTERED AGENT ADDRESS CHANGED 2009-03-11 1 TAMPA GENERAL CIRCLE, SUITE A327, TAMPA, FL 33606 -
LC NAME CHANGE 2009-03-09 NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC -

Documents

Name Date
ANNUAL REPORT 2015-03-27
ANNUAL REPORT 2014-01-30
ANNUAL REPORT 2013-03-22
ANNUAL REPORT 2012-02-09
ANNUAL REPORT 2011-01-04
ANNUAL REPORT 2010-01-06
ANNUAL REPORT 2009-03-11
LC Name Change 2009-03-09
ANNUAL REPORT 2008-04-07
ANNUAL REPORT 2007-08-28

Date of last update: 02 Apr 2025

Sources: Florida Department of State