| Entity Name: | SURGERY CENTER OF SOUTHWEST FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SURGERY CENTER OF SOUTHWEST FLORIDA, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 16 Jun 2000 (25 years ago) |
| Date of dissolution: | 25 Sep 2020 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (5 years ago) |
| Document Number: | P00000058660 |
| FEI/EIN Number |
651022543
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 12631 WHITEHALL DRIVE, FORT MYERS, FL, 33907 |
| Mail Address: | 507 DEL PRADO BLVD. S, CAPE CORAL, FL, 33990 |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689624793 | 2006-05-11 | 2012-02-01 | 12631 WHITEHALL DR, FT MYERS, FL, 339073626, US | 12631 WHITEHALL DR, FT MYERS, FL, 339073626, US | |||||||||||||||||||||||||
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| Phone | +1 239-939-4758 |
| Fax | 2394797874 |
Authorized person
| Name | DR. PAUL R BRETTON |
| Role | MEDICAL DIRECTOR |
| Phone | 2399394758 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1125 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 075319000 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SPIN-OFF TERMINATION PLAN FOR SURGERY CENTER OF SOUTHWEST FLORIDA, INC. | 2020 | 651022543 | 2021-07-25 | SURGERY CENTER OF SOUTHWEST FLORIDA, INC. | 5 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2021-07-25 |
| Name of individual signing | SHERYL SOUTHWICK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-06-05 |
| Business code | 541214 |
| Sponsor’s telephone number | 2393377874 |
| Plan sponsor’s address | 12631 WHITEHALL DRIVE, FT. MYERS, FL, 33907 |
Signature of
| Role | Plan administrator |
| Date | 2021-08-25 |
| Name of individual signing | SHERYL SOUTHWICK |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| EVANS WILLIAM P | President | 5598 SUNDOWN HARBOUR COURT, FORT MYERS, FL, 33919 |
| BORDEN JAMES D | Vice President | 3880 W RIVERSIDE DRIVE, FORT MYERS, FL, 33901 |
| BRETTON PAUL R | Director | 4849 LAUREL LANE, FORT MYERS, FL, 33908 |
| RIZZO JASPER J | Officer | 14169 REFLECTION LAKES DR, FORT MYERS, FL, 33907 |
| STRICKLAND MICHAEL G | Officer | 6680 DANIEL CT, FORT MYERS, FL, 33908 |
| Evans Blake P | Officer | 1221 CANTERBURY DR, FORT MYERS, FL, 33901 |
| EVANS WILLIAM P | Agent | 12631 WHITEHALL DRIVE, FORT MYERS, FL, 33907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
| REGISTERED AGENT NAME CHANGED | 2013-01-16 | EVANS, WILLIAM P | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-12-26 | 12631 WHITEHALL DRIVE, FORT MYERS, FL 33907 | - |
| CHANGE OF MAILING ADDRESS | 2006-01-19 | 12631 WHITEHALL DRIVE, FORT MYERS, FL 33907 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2005-04-20 | 12631 WHITEHALL DRIVE, FORT MYERS, FL 33907 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-04-07 |
| ANNUAL REPORT | 2016-03-30 |
| ANNUAL REPORT | 2015-02-18 |
| ANNUAL REPORT | 2014-04-09 |
| ANNUAL REPORT | 2013-01-16 |
| Reg. Agent Change | 2012-12-26 |
| ANNUAL REPORT | 2012-02-09 |
| ANNUAL REPORT | 2011-01-27 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
