| 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 | |||||||||||||||||||||||||
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| 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 | |||||||||||||||||||||||||||||||
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| 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
