Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Volusia
    4. ›
  4. 32763
    5. ›
  5. ORANGE CITY SURGICAL, LLC

ORANGE CITY SURGICAL, LLC

Company Details

Entity Name: ORANGE CITY SURGICAL, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 05 Oct 2006 (18 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 27 Jan 2016 (9 years ago)
Document Number: M06000005515
FEI/EIN Number 208105013
Address: 1053 MEDICAL CENTER DR SUITE 201, ORANGE CITY, FL, 32763, US
Mail Address: 1053 MEDICAL CENTER DR SUITE 201, ORANGE CITY, FL, 32763, US
ZIP code: 32763
County: Volusia
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558580910 2007-04-24 2024-03-29 1053 MEDICAL CENTER DR STE 201, ORANGE CITY, FL, 327638261, US 1053 MEDICAL CENTER DRIVE, ORANGE CITY, FL, 32763, US

Contacts
Phone +1 386-878-8080

Authorized person
Name MRS. AMANDA LOUISE HENSHAW
Role ADMINISTRATOR
Phone 3868788080

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
BLUE SPRINGS SURGERY CENTER 401(K) PROFIT SHARING PLAN 2023 208105013 2024-03-31 ORANGE CITY SURGICAL, LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1053 MEDICAL CENTER DR., SUITE 201, ORANGE CITY, FL, 32763
BLUE SPRINGS SURGERY CENTER 401(K) PROFIT SHARING PLAN 2022 208105013 2023-05-08 ORANGE CITY SURGICAL, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1053 MEDICAL CENTER DR., SUITE 201, ORANGE CITY, FL, 32763
BLUE SPRINGS SURGERY CENTER 401(K) PROFIT SHARING PLAN 2021 208105013 2022-04-19 ORANGE CITY SURGICAL, LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1053 MEDICAL CENTER DR., SUITE 201, ORANGE CITY, FL, 32763
BLUE SPRINGS SURGERY CENTER 401(K) PROFIT SHARING PLAN 2020 208105013 2021-03-09 ORANGE CITY SURGICAL, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1053 MEDICAL CENTER DR., SUITE 201, ORANGE CITY, FL, 32763
BLUE SPRINGS SURGERY CENTER 401(K) PROFIT SHARING PLAN 2019 208105013 2020-05-08 ORANGE CITY SURGICAL, LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1053 MEDICAL CENTER DR., SUITE 201, ORANGE CITY, FL, 32763
BLUE SPRINGS SURGERY CENTER 401(K) PROFIT SHARING PLAN 2018 208105013 2019-06-07 ORANGE CITY SURGICAL, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1053 MEDICAL CENTER DR., SUITE 201, ORANGE CITY, FL, 32763
BLUE SPRINGS SURGERY CENTER 401(K) PROFIT SHARING PLAN 2017 208105013 2018-05-15 ORANGE CITY SURGICAL, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1053 MEDICAL CENTER DR., SUITE 201, ORANGE CITY, FL, 32763
BLUE SPRINGS SURGERY CENTER 401(K) PROFIT SHARING PLAN 2016 208105013 2017-06-13 ORANGE CITY SURGICAL, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1053 MEDICAL CENTER DR., SUITE 201, ORANGE CITY, FL, 32763

Signature of
Role Plan administrator
Date 2017-06-13
Name of individual signing MARK W. HOLLMANN, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Manager

Name Role Address
HOLLMANN MARK W Manager 740 W PLYMOUTH AVE, DELAND, FL, 32720

Auth

Name Role Address
Henshaw Amanda Auth 1053 MEDICAL CENTER DR SUITE 201, ORANGE CITY, FL, 32763

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000036839 ADVENTHEALTH SURGERY CENTER BLUE SPRINGS ACTIVE 2023-03-20 2028-12-31 No data 1053 MEDICAL CENTER DRIVE, SUITE 201, ORANGE CITY, FL, 32763-8261
G23000028762 BLUE SPRINGS SURGERY CENTER ACTIVE 2023-03-02 2028-12-31 No data 1053 MEDICAL CENTER DRIVE STE. 201, ORANGE CITY, FL, 32763

Events

Event Type Filed Date Value Description
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
LC AMENDMENT 2015-03-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2015-03-23 1053 MEDICAL CENTER DR SUITE 201, ORANGE CITY, FL 32763 No data
CHANGE OF MAILING ADDRESS 2015-03-23 1053 MEDICAL CENTER DR SUITE 201, ORANGE CITY, FL 32763 No data

Documents

Name Date
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-04-11
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-03-11
ANNUAL REPORT 2020-04-30
ANNUAL REPORT 2019-04-22
ANNUAL REPORT 2018-04-25
ANNUAL REPORT 2017-04-24
ANNUAL REPORT 2016-04-28
CORLCRACHG 2016-01-27

Related by officers

HOLLMANN MARK W

DELAND CAPITAL INVESTORS, LLC LAKE MARY PROFESSIONAL ASSOCIATES, LLC FLORTEX PROPERTIES, LLC ORANGE CITY MEDICAL PARTNERS, LLC ORANGE CITY PROPERTIES, LLC ORANGE CITY MEDICAL ASSOCIATES, LLC FLORIDA RESEARCH ASSOCIATES LLC VOLUSIA SURGICAL, LLC FLORIDA MEDICAL RESEARCH, LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated