| Entity Name: | LASER AND OUTPATIENT SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Oct 2006 (18 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 04 Oct 2006 (18 years ago) |
| Document Number: | M06000005492 |
| FEI/EIN Number | 201098451 |
| Mail Address: | 340 SEVEN SPRINGS WAY, BRENTWOOD, TN, 37027, US |
| Address: | 6925 NW 11th Place, Gainesville, FL, 32605, US |
| ZIP code: | 32605 |
| County: | Alachua |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457965832 | 2020-09-03 | 2020-12-08 | 4919 MEMORIAL HWY STE 200, TAMPA, FL, 336347500, US | 6925 NW 11TH PL, GAINESVILLE, FL, 326053101, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 813-291-7015 |
| Fax | 8135279537 |
| Phone | +1 352-331-1590 |
| Fax | 3523310995 |
Authorized person
| Name | JENNIFER BOYD BALDOCK |
| Role | OFFICER AND AUTHORIZED OFFICIAL |
| Phone | 6152345900 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | No |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| BALDOCK JENNIFER | Manager | Suite 600 340 Seven Springs Way, Brentwood, TN, 37027 |
| Name | Role |
|---|---|
| NOVAMED LLC. | Auth |
| Name | Role | Address |
|---|---|---|
| O'Brien Jeff | vp | Suite 600 340 Seven Springs Way, Brentwood, TN, 37027 |
| Doherty Dave | vp | Suite 600 340 Seven Springs Way, Brentwood, TN, 37027 |
| Kennedy Brett | vp | Suite 600 340 Seven Springs Way, Brentwood, TN, 37027 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000154721 | GAINESVILLE ANESTHESIA SERVICES | ACTIVE | 2020-12-07 | 2025-12-31 | No data | 310 SEVEN SPRINGS WAY, STE 500, BRENTWOOD, TN, 37027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-20 | 6925 NW 11th Place, Gainesville, FL 32605 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-24 | 6925 NW 11th Place, Gainesville, FL 32605 | No data |
| CONVERSION | 2006-10-04 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS L04000032643. CONVERSION NUMBER 500000059795 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| 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 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
