| Entity Name: | WEST FLORIDA SURGERY CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Apr 2001 (24 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 02 Jul 2019 (6 years ago) |
| Document Number: | P01000034130 |
| FEI/EIN Number | 651092124 |
| Address: | 5817 21ST AVE W, BRADENTON, FL, 34209, US |
| Mail Address: | 5817 21ST AVE W, BRADENTON, FL, 34209, US |
| ZIP code: | 34209 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508879446 | 2006-08-14 | 2021-08-11 | 5817 21ST AVE W, BRADENTON, FL, 342095641, US | 5817 21ST AVE W, BRADENTON, FL, 342095641, US | |||||||||||||||||||||||||||||
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| Phone | +1 941-794-0379 |
| Fax | 9417989905 |
Authorized person
| Name | RIMANTAS ZALEPUGA |
| Role | PRESIDENT |
| Phone | 9417611800 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 960 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OF FL |
| Number | 612 |
| Issuer | AHCA |
| Number | 00000002 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Zalepuga Rimantas | Agent | 4502 CORTEZ ROAD WEST, BRADENTON, FL, 34210 |
| Name | Role | Address |
|---|---|---|
| ZALEPUGA RIMANTAS | Director | 5817 21ST AVE W, BRADENTON, FL, 34209 |
| Name | Role | Address |
|---|---|---|
| ZALEPUGA RIMANTAS | President | 5817 21ST AVE W, BRADENTON, FL, 34209 |
| Name | Role | Address |
|---|---|---|
| ZALEPUGA RIMANTAS | Secretary | 5817 21ST AVE W, BRADENTON, FL, 34209 |
| Name | Role | Address |
|---|---|---|
| ZALEPUGA RIMANTAS | Treasurer | 5817 21ST AVE W, BRADENTON, FL, 34209 |
| Name | Role | Address |
|---|---|---|
| Ahmadi Bahram | Manager | 5817 21ST AVE W, BRADENTON, FL, 34209 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-11 | 4502 CORTEZ ROAD WEST, STE 204, BRADENTON, FL 34210 | No data |
| AMENDMENT | 2019-07-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-02-07 | Zalepuga, Rimantas | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2002-03-22 | 5817 21ST AVE W, BRADENTON, FL 34209 | No data |
| CHANGE OF MAILING ADDRESS | 2002-03-22 | 5817 21ST AVE W, BRADENTON, FL 34209 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-02-05 |
| ANNUAL REPORT | 2022-03-06 |
| ANNUAL REPORT | 2021-03-13 |
| ANNUAL REPORT | 2020-06-11 |
| Amendment | 2019-07-02 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-03-25 |
| ANNUAL REPORT | 2017-01-30 |
| ANNUAL REPORT | 2016-03-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
