| Entity Name: | MELBOURNE SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Oct 2013 (11 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 04 May 2015 (10 years ago) |
| Document Number: | M13000006387 |
| FEI/EIN Number | 58-2101921 |
| Address: | 95 Bulldog Boulevard, Suite 104, Melbourne, FL, 32901, US |
| Mail Address: | 95 Bulldog Boulevard, Suite 104, Melbourne, FL, 32901, US |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | GEORGIA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013309459 | 2015-02-23 | 2015-02-23 | 95 BULLDOG BLVD, SUITE 104, MELBOURNE, FL, 329013332, US | 95 BULLDOG BLVD, SUITE 104, MELBOURNE, FL, 329013332, US | |||||||||||||
|
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| Phone | +1 321-952-9800 |
Authorized person
| Name | PETER J CLEMENS IV |
| Role | VP |
| Phone | 2055452572 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role |
|---|---|
| SURGICAL CARE PARTNERS OF MELBOURNE, LLC | Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000112217 | MELBOURNE SURGERY CENTER | ACTIVE | 2022-09-08 | 2027-12-31 | No data | 95 BULLDOG BLVD, STE 104, MELBOURNE, FL, 32901 |
| G15000016320 | MELBOURNE SURGERY CENTER | EXPIRED | 2015-02-14 | 2020-12-31 | No data | 95 BULLDOG BOULEVARD, SUITE 104, MELBOURNE, FL, 32901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-04 | 95 Bulldog Boulevard, Suite 104, Melbourne, FL 32901 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-04 | 95 Bulldog Boulevard, Suite 104, Melbourne, FL 32901 | No data |
| MERGER | 2015-05-04 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 300000151213 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| AMENDED ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-05-27 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-04-14 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-03-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
