Entity Name: | TITUSVILLE CENTER FOR SURGICAL EXCELLENCE, 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: | 18 May 2010 (15 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 28 Apr 2022 (3 years ago) |
Document Number: | M10000002243 |
FEI/EIN Number |
263531997
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 14201 Dallas Parkway, Dallas, TX, 75254, US |
Mail Address: | 14201 Dallas Parkway, Dallas, TX, 75254, US |
Place of Formation: | DELAWARE |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1831420694 | 2010-01-19 | 2024-09-10 | 814 S WASHINGTON AVE, TITUSVILLE, FL, 327802406, US | 814 S WASHINGTON AVE, TITUSVILLE, FL, 327802406, US | |||||||||||||||||||||||||
|
Phone | +1 321-567-6300 |
Fax | 3215676320 |
Authorized person
Name | COLLIN LEMAISTRE |
Role | AUTHORIZED OFFICIAL |
Phone | 2142130732 |
Taxonomy
Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
License Number | 1333 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | RAILROAD MEDICARE |
Number | P00934078 |
State | FL |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
TITUSVILLE CENTER FOR SURGICAL 401(K) PROFIT SHARING PLAN & TRUST | 2011 | 263531997 | 2012-07-30 | TITUSVILLE CENTER FOR SURGICAL EXCELLENCE LLC | 13 | |||||||||||||||||||||||||||||||
|
Administrator’s EIN | 263531997 |
Plan administrator’s name | TITUSVILLE CENTER FOR SURGICAL EXCELLENCE LLC |
Plan administrator’s address | 15305 DALLAS PARKWAY, SUITE 1600, ADDISON, TX, 75001 |
Administrator’s telephone number | 9727133539 |
Signature of
Role | Plan administrator |
Date | 2012-07-30 |
Name of individual signing | JOHN WELLIK |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
C T CORPORATION SYSTEM | Agent | - |
TITAN HEALTH OF TITUSVILLE, INC. | Manager | - |
Bowden James | Secretary | 14201 Dallas Parkway, Dallas, TX, 75254 |
LeMaistre Collin | President | 14201 Dallas Parkway, Dallas, TX, 75254 |
Edwards Beth | Vice President | 14201 Dallas Parkway, Dallas, TX, 75254 |
Sims Karen | Auth | 14201 Dallas Parkway, Dallas, TX, 75254 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 2022-04-28 | - | - |
REGISTERED AGENT NAME CHANGED | 2022-04-28 | C T CORPORATION SYSTEM | - |
REVOKED FOR ANNUAL REPORT | 2021-09-24 | - | - |
CHANGE OF PRINCIPAL ADDRESS | 2020-06-20 | 14201 Dallas Parkway, Dallas, TX 75254 | - |
CHANGE OF MAILING ADDRESS | 2020-06-20 | 14201 Dallas Parkway, Dallas, TX 75254 | - |
Name | Date |
---|---|
ANNUAL REPORT | 2024-05-02 |
ANNUAL REPORT | 2023-04-18 |
REINSTATEMENT | 2022-04-28 |
ANNUAL REPORT | 2020-06-20 |
ANNUAL REPORT | 2019-05-01 |
ANNUAL REPORT | 2018-04-04 |
ANNUAL REPORT | 2017-01-09 |
ANNUAL REPORT | 2016-03-29 |
ANNUAL REPORT | 2015-02-24 |
ANNUAL REPORT | 2014-04-23 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State