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ORANGE CITY SURGICAL, LLC - Florida Company Profile

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Company Details

Entity Name: ORANGE CITY SURGICAL, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 05 Oct 2006 (19 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

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

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
City: Orange City
County: Volusia
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
- Agent -
HOLLMANN MARK W Manager 740 W PLYMOUTH AVE, DELAND, FL, 32720
Henshaw Amanda Auth 1053 MEDICAL CENTER DR SUITE 201, ORANGE CITY, FL, 32763

National Provider Identifier

NPI Number:
1558580910
Certification Date:
2024-03-29

Authorized Person:

Name:
MRS. AMANDA LOUISE HENSHAW
Role:
ADMINISTRATOR
Phone:

Taxonomy:

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

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
208105013
Plan Year:
2024
Number Of Participants:
29
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
31
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
34
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
31
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
30
Sponsors Telephone Number:

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 - 1053 MEDICAL CENTER DRIVE, SUITE 201, ORANGE CITY, FL, 32763-8261
G23000028762 BLUE SPRINGS SURGERY CENTER ACTIVE 2023-03-02 2028-12-31 - 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 - -
REGISTERED AGENT NAME CHANGED 2016-01-27 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2016-01-27 1201 HAYS STREET, TALLAHASSEE, FL 32301 -
LC AMENDMENT 2015-03-23 - -
CHANGE OF PRINCIPAL ADDRESS 2015-03-23 1053 MEDICAL CENTER DR SUITE 201, ORANGE CITY, FL 32763 -
CHANGE OF MAILING ADDRESS 2015-03-23 1053 MEDICAL CENTER DR SUITE 201, ORANGE CITY, FL 32763 -

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

USAspending Awards / Financial Assistance

Date:
2020-04-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
311200.00
Total Face Value Of Loan:
311200.00

Paycheck Protection Program

Jobs Reported:
34
Initial Approval Amount:
$311,200
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$311,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$313,326.53
Servicing Lender:
Mainstreet Community Bank of Florida
Use of Proceeds:
Payroll: $311,200

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Date of last update: 02 Jul 2025

Sources: Florida Department of State