| Entity Name: | BETHESDA OUTPATIENT SURGERY CENTER, 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: | 19 May 2010 (15 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 17 May 2017 (8 years ago) |
| Document Number: | M10000002272 |
| FEI/EIN Number |
651028884
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 501 N Reo Street, tampa, FL, 33609, US |
| Mail Address: | 501 N Reo Street, tampa, FL, 33609, US |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | TENNESSEE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750364634 | 2005-11-23 | 2023-06-26 | PO BOX 628762, ORLANDO, FL, 328628762, US | 6910 S DIXIE HIGHWAY SUITE 101, WEST PALM BEACH, FL, 334053724, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 813-549-2134 |
| Phone | +1 561-374-5550 |
| Fax | 5613749977 |
Authorized person
| Name | JOSHUA HELMS |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 8135492134 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 935 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 282N00000X - General Acute Care Hospital |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002327900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HELMS JOSH | Chief Executive Officer | 504 N REO STREET, TAMPA, FL, 33609 |
| Lawson Tracie | Chief Administrative Officer | 504 N REO STREET, TAMPA, FL, 33609 |
| Wood David | Agent | 504 N REO STREET, TAMPA, FL, 33609 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000014089 | PALM BEACH OUTPATIENT SURGERY CENTER | ACTIVE | 2022-02-04 | 2027-12-31 | - | 504 N. REO STREET, TAMPA, FL, 33609 |
| G17000069555 | BOYNTON BEACH AMBULATORY SURGERY CENTER | EXPIRED | 2017-06-26 | 2022-12-31 | - | 4730 N. HABANA AVE., STE. 204, TAMPA, FL, 33614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-02-18 | 6910 S. Dixie Highway, Suite 101, West Palm Beach, FL 33405 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2025-02-18 | 501 N Reo Street, tampa, FL 33609 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2023-08-15 | 501 N Reo Street, tampa, FL 33609 | - |
| CHANGE OF MAILING ADDRESS | 2023-08-15 | 501 N Reo Street, tampa, FL 33609 | - |
| REGISTERED AGENT NAME CHANGED | 2023-01-18 | Wood, David | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-26 | 504 N REO STREET, TAMPA, FL 33609 | - |
| LC STMNT OF RA/RO CHG | 2017-05-17 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-18 |
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-04-26 |
| AMENDED ANNUAL REPORT | 2017-06-16 |
| CORLCRACHG | 2017-05-17 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
