| Entity Name: | COLLIER ENDOSCOPY & SURGERY CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
COLLIER ENDOSCOPY & SURGERY CENTER, 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: |
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: | 10 Apr 2001 (24 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 23 Jun 2008 (17 years ago) |
| Document Number: | P01000036392 |
| FEI/EIN Number |
651093702
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3439 PINE RIDGE ROAD, NAPLES, FL, 34109, US |
| Mail Address: | 3439 PINE RIDGE ROAD, NAPLES, FL, 34109, US |
| ZIP code: | 34109 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154538544 | 2007-05-17 | 2015-12-14 | 3439 PINE RIDGE RD, NAPLES, FL, 341093884, US | 3439 PINE RIDGE RD, NAPLES, FL, 341093884, US | |||||||||||||||||||||||||||||
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| Phone | +1 239-593-9599 |
| Fax | 2395934099 |
| Phone | +1 239-275-6678 |
| Fax | 2392755216 |
Authorized person
| Name | MS. MEGAN ALESSANDRA EVETTS |
| Role | BILLER |
| Phone | 2395939599 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | AS14960420 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 070928000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Prathima Moorthy Irrevocable Trust | Officer | 3439 PINE RIDGE ROAD, NAPLES, FL, 34109 |
| SHARDUL NANAVATI | Agent | 3439 PINE RIDGE RD, NAPLES, FL, 34109 |
| NANAVATI SHARDUL M | Director | 3439 PINE RIDGE ROAD, NAPLES, FL, 34109 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-05-24 | 3439 PINE RIDGE ROAD, NAPLES, FL 34109 | - |
| REGISTERED AGENT NAME CHANGED | 2009-02-24 | SHARDUL NANAVATI | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-02-24 | 3439 PINE RIDGE RD, NAPLES, FL 34109 | - |
| AMENDMENT | 2008-06-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2008-04-28 | 3439 PINE RIDGE ROAD, NAPLES, FL 34109 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-10 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-03-05 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-03-29 |
| ANNUAL REPORT | 2019-03-21 |
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-02-17 |
| ANNUAL REPORT | 2016-01-23 |
| ANNUAL REPORT | 2015-01-14 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7718687000 | 2020-04-08 | 0455 | PPP | 3439 PINE RIDGE RD Suite 301, NAPLES, FL, 34109-3884 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
