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  5. ORANGE CITY SURGICAL, LLC

ORANGE CITY SURGICAL, LLC - Florida Company Profile

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
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

Key Officers & Management

Name Role Address
CORPORATION SERVICE COMPANY 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

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7195697101 2020-04-14 0491 PPP 1053 Medical Center Dr. Ste. 201, ORANGE CITY, FL, 32763
Loan Status Date 2021-01-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 311200
Loan Approval Amount (current) 311200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 342931
Servicing Lender Name Mainstreet Community Bank of Florida
Servicing Lender Address 204 S Woodland Blvd, DE LAND, FL, 32720-5414
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address ORANGE CITY, VOLUSIA, FL, 32763-0001
Project Congressional District FL-07
Number of Employees 34
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 342931
Originating Lender Name Mainstreet Community Bank of Florida
Originating Lender Address DE LAND, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 313326.53
Forgiveness Paid Date 2020-12-21

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HOLLMANN MARK W

ORANGE CITY MEDICAL PARTNERS, LLC - Inactive
Florida Limited Liability Co. (2006 - 2007)
ORANGE CITY PROPERTIES, LLC - Inactive
Florida Limited Liability Co. (2004 - 2006)
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Florida Limited Liability Co. (2004 - 2006)
ORANGE CITY MEDICAL ASSOCIATES, LLC - Active
Florida Limited Liability Co. (2005 )
ORANGE CITY MEDICAL ASSOCIATES, LLC - Active
Florida Limited Liability Co. (2005 )
VOLUSIA SURGICAL, LLC - Inactive
Florida Limited Liability Co. (2006 - 2008)
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Florida Limited Liability Co. (2006 - 2008)
FLORIDA RESEARCH ASSOCIATES LLC - Active
Florida Limited Liability Co. (2005 )
FLORIDA RESEARCH ASSOCIATES LLC - Active
Florida Limited Liability Co. (2005 )
FLORIDA MEDICAL RESEARCH, LLC - Inactive
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Companies related by address

No other companies in our directory share the same address as ORANGE CITY SURGICAL, LLC

Date of last update: 02 May 2025

Sources: Florida Department of State

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