| Entity Name: | MNH GI SURGICAL CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Aug 2008 (17 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 24 Jun 2010 (15 years ago) |
| Document Number: | M08000003626 |
| FEI/EIN Number | 263094275 |
| Address: | 401 COMMERCE STREET, SUITE 600, NASHVILLE, TN, 37219, US |
| Mail Address: | 401 COMMERCE STREET, SUITE 600, NASHVILLE, TN, 37219, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467601625 | 2008-09-12 | 2024-11-08 | 740 CONCOURSE PKWY S STE 100, MAITLAND, FL, 327518101, US | 740 CONCOURSE PKWY S STE 100, MAITLAND, FL, 327518101, US | |||||||||||||||||||
|
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| Phone | +1 407-644-4222 |
Authorized person
| Name | MR. COLLIN LEMAISTRE |
| Role | OFFICER |
| Phone | 2142130732 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1147200 |
| State | FL |
| Name | Role |
|---|---|
| NRAI SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Covenant Surgical Partners, Inc. d/b/a Cov | Manager | 401 COMMERCE STREET SUITE 600, NASHVILLE, TN, 37219 |
| Name | Role | Address |
|---|---|---|
| FOGLE RICH | Vice President | 401 Commerce Street Suite 600, NASHVILLE, TN, 37219 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000043023 | CFAGI SURGERY CENTER | ACTIVE | 2018-04-03 | 2028-12-31 | No data | 401 COMMERCE STREET, SUITE 600/ LICENSING, NASHVILLE, TN, 37219 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2014-06-09 | 401 COMMERCE STREET, SUITE 600, NASHVILLE, TN 37219 | No data |
| CHANGE OF MAILING ADDRESS | 2014-06-09 | 401 COMMERCE STREET, SUITE 600, NASHVILLE, TN 37219 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-11 | 1200 South Pine Island Road, Plantation, FL 33324 | No data |
| REINSTATEMENT | 2010-06-24 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-03-26 |
| ANNUAL REPORT | 2019-04-11 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-02-14 |
| ANNUAL REPORT | 2016-02-29 |
| ANNUAL REPORT | 2015-02-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
