| Entity Name: | PERFORMANCE HEALTH SURGICENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Apr 2022 (3 years ago) |
| Document Number: | M22000006170 |
| FEI/EIN Number | 88-1897351 |
| Address: | ONE PARK PLAZA, NASHVILLE, TN, 37203 |
| Mail Address: | P.O. BOX 750, NASHVILLE, TN, 37202 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093459315 | 2022-04-22 | 2022-04-22 | 9500 GULF RESEARCH LN, FORT MYERS, FL, 339124545, US | 9500 GULF RESEARCH LN, FORT MYERS, FL, 339124545, US | |||||||||||||
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| Phone | +1 239-314-0660 |
Authorized person
| Name | WILLIAM G SWINNEY |
| Role | VP |
| Phone | 9727892877 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 S PINE ISLAND RD, PLANTATION, FL, 33324 |
| Name | Role |
|---|---|
| SURGICARE OF PERFORMANCE HEALTH, LLC | Managing Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000080868 | PERFORMANCE HEALTH SURGERY CENTER | ACTIVE | 2022-07-07 | 2027-12-31 | No data | 9500 GULF RESEARCH LANE, FORT MYERS, FL, 33912 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-17 |
| Foreign Limited | 2022-04-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
