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SURGERY CENTER OF VOLUSIA, LLC - Florida Company Profile

Company Details

Entity Name: SURGERY CENTER OF VOLUSIA, 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: 15 Oct 2010 (15 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 17 May 2017 (8 years ago)
Document Number: M10000004554
FEI/EIN Number 593754620

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1A BURTON HILLS BLVD, SUITE 300, NASHVILLE, TN, 37215, US
Mail Address: 1A BURTON HILLS BLVD, SUITE 300, NASHVILLE, TN, 37215, US
Place of Formation: TENNESSEE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SURGERY CENTER OF VOLUSIA 401(K) PLAN 2023 593754620 2024-10-03 SURGERY CENTER OF VOLUSIA 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 3867608151
Plan sponsor’s address 3635 CLYDE MORRIS BLVD. # 500, PORT ORANGE, FL, 32129

Signature of
Role Plan administrator
Date 2024-10-03
Name of individual signing MAGGIE STERBA
Valid signature Filed with authorized/valid electronic signature
SURGERY CENTER OF VOLUSIA 401(K) PLAN 2022 593754620 2023-06-02 SURGERY CENTER OF VOLUSIA 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 3867608151
Plan sponsor’s address 3635 CLYDE MORRIS BLVD. # 500, PORT ORANGE, FL, 32129

Signature of
Role Plan administrator
Date 2023-06-02
Name of individual signing MAGGIE STERBA
Valid signature Filed with authorized/valid electronic signature
SURGERY CENTER OF VOLUSIA 401(K) PLAN 2021 593754620 2022-08-09 SURGERY CENTER OF VOLUSIA 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 3867608151
Plan sponsor’s address 3635 CLYDE MORRIS BLVD. # 500, PORT ORANGE, FL, 32129

Signature of
Role Plan administrator
Date 2022-08-09
Name of individual signing MAGGIE STERBA
Valid signature Filed with authorized/valid electronic signature
SURGERY CENTER OF VOLUSIA 401(K) PLAN 2020 593754620 2021-10-15 SURGERY CENTER OF VOLUSIA 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 3867608151
Plan sponsor’s address 3635 CLYDE MORRIS BLVD. # 500, PORT ORANGE, FL, 32129

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing MAGGIE STERBA
Valid signature Filed with authorized/valid electronic signature
SURGERY CENTER OF VOLUSIA 401(K) PLAN 2019 593754620 2020-08-19 SURGERY CENTER OF VOLUSIA 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 3867608151
Plan sponsor’s address 3635 CLYDE MORRIS BLVD. # 500, PORT ORANGE, FL, 32129

Signature of
Role Plan administrator
Date 2020-08-19
Name of individual signing SUSAN DONIGAN
Valid signature Filed with authorized/valid electronic signature
SURGERY CENTER OF VOLUSIA 401(K) PLAN 2018 593754620 2019-10-11 SURGERY CENTER OF VOLUSIA 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 3867608151
Plan sponsor’s address 3635 CLYDE MORRIS BLVD. # 500, PORT ORANGE, FL, 32129

Signature of
Role Plan administrator
Date 2019-10-11
Name of individual signing SUSAN DONIGAN
Valid signature Filed with authorized/valid electronic signature
SURGERY CENTER OF VOLUSIA 401(K) PLAN 2017 593754620 2018-07-24 SURGERY CENTER OF VOLUSIA 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 3867608151
Plan sponsor’s address 3635 CLYDE MORRIS BLVD. # 500, PORT ORANGE, FL, 32129

Signature of
Role Plan administrator
Date 2018-07-24
Name of individual signing SUSAN DONIGAN
Valid signature Filed with authorized/valid electronic signature
SURGERY CENTER OF VOLUSIA 401(K) PLAN 2016 593754620 2017-10-09 SURGERY CENTER OF VOLUSIA 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 3867608151
Plan sponsor’s address 3635 CLYDE MORRIS BLVD. # 500, PORT ORANGE, FL, 32129

Signature of
Role Plan administrator
Date 2017-10-09
Name of individual signing SUSAN DONIGAN
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
AMSURG HOLDINGS, LLC Member -
CORPORATION SERVICE COMPANY Agent -
Reber Paige Secretary 1A BURTON HILLS BLVD, NASHVILLE, TN, 37215

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-23 1A BURTON HILLS BLVD, SUITE 300, NASHVILLE, TN 37215 -
CHANGE OF MAILING ADDRESS 2024-04-23 1A BURTON HILLS BLVD, SUITE 300, NASHVILLE, TN 37215 -
LC STMNT OF RA/RO CHG 2017-05-17 - -
REGISTERED AGENT NAME CHANGED 2017-05-17 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2017-05-17 1201 HAYS STREET, TALLAHASSEE, FL 32301 -

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-04-22
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-06-28
ANNUAL REPORT 2019-04-24
ANNUAL REPORT 2018-04-25
CORLCRACHG 2017-05-17
ANNUAL REPORT 2017-04-20
ANNUAL REPORT 2016-03-30

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
337167589 0419700 2012-11-01 3635 CLYDE MORRIS BLVD. SUITE 500, PORT ORANGE, FL, 32129
Inspection Type Planned
Scope Complete
Safety/Health Health
Close Conference 2012-11-02
Emphasis L: SHARPS
Case Closed 2012-12-20

Violation Items
Citation ID 01001
Citaton Type Other
Standard Cited 19101030 G02 IV
Issuance Date 2012-11-30
Abatement Due Date 2012-12-27
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2012-12-26
Nr Instances 1
Nr Exposed 2
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.1030(g)(2)(iv): Annual training for employees with occupational exposure was not provided within one year of their previous training: a. On or about November 1, 2012, employees who had occupational exposure to blood or other potentially infectious materials did not receive the annual blood borne pathogen training within one year of their previous training.

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AMSURG HOLDINGS, LLC

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CORPORATION SERVICE COMPANY

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Florida Limited Liability Co. (2009 - 2016)
DT CAPITAL, LLC - Inactive
Florida Limited Liability Co. (2007 - 2008)
R & R ENTERPRISES, LLC - Inactive
Florida Limited Liability Co. (2006 - 2012)
PATRICK PRESERVE GP, LLC - Inactive
Florida Limited Liability Co. (2015 - 2017)
BELLA PROPERTY INVESTMENT, LLC - Inactive
Florida Limited Liability Co. (2005 - 2012)
NEWKIRK LARLOOSA L.P. - Inactive
Foreign Limited Partnership (2001 - 2008)
COLCHESTER AVIATION, LLC - Inactive
Foreign Limited Liability Co. (2013 - 2018)
MT. PLEASANT CAPACITY AGENCY, LLC - Active
Foreign Limited Liability Co. (2014 )

Reber Paige

AMSURG TAMPA BAY ANESTHESIA, LLC - Active
Foreign Limited Liability Co. (2011 )
CORAL SPRINGS AMBULATORY SURGERY CENTER, LLC - Active
Foreign Limited Liability Co. (1999 )
GLOBAL SURGICAL PARTNERS OF SARASOTA, L.L.C. - Active
Florida Limited Liability Co. (2006 )
AMSURG NEW PORT RICHEY FL, INC. - Active
Foreign Profit (2007 )
HEALTH NETWORK AMBULATORY ALLIANCE, LLC - Active
Florida Limited Liability Co. (2016 )
FO INVESTMENTS III, INC. - Active
Domestic Profit (2012 )
SOUTH PALM AMBULATORY SURGERY CENTER, LLC - Active
Florida Limited Liability Co. (2003 )
OCALA FL ORTHOPAEDIC ASC, LLC - Active
Foreign Limited Liability Co. (2014 )
AMSURG KISSIMMEE FL, INC. - Active
Foreign Profit (2007 )
AMSURG PALMETTO, INC. - Active
Foreign Profit (1997 )

Companies related by address

1A BURTON HILLS BLVD, SUITE 300, NASHVILLE, TN, 37215, US

SPSC ANESTHESIA, L.L.C. ORLANDO/MILLS FL ENDOSCOPY ASC, LLC MIAMI KENDALL FL ENDOSCOPY ASC, LLC NSC RBO EAST, LLC WESTON NSC, LLC PORT ST LUCIE ANESTHESIA, LLC THE BOCA RATON OPHTHALMOLOGY ASC, LLC THE ALTAMONTE SPRINGS FL ENDOSCOPY ASC, LLC THE ORLANDO FL ENDOSCOPY ASC, LLC

1A BURTON HILLS BLVD, SUITE 300, NASHVILLE, TN, 37215, US

SPSC ANESTHESIA, L.L.C. ORLANDO/MILLS FL ENDOSCOPY ASC, LLC MIAMI KENDALL FL ENDOSCOPY ASC, LLC NSC RBO EAST, LLC WESTON NSC, LLC PORT ST LUCIE ANESTHESIA, LLC THE BOCA RATON OPHTHALMOLOGY ASC, LLC THE ALTAMONTE SPRINGS FL ENDOSCOPY ASC, LLC THE ORLANDO FL ENDOSCOPY ASC, LLC

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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