| Entity Name: | HEARTLAND SURGICAL ASSISTANTS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
HEARTLAND SURGICAL ASSISTANTS, 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: | 06 Feb 2003 (22 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Apr 2016 (9 years ago) |
| Document Number: | P03000014330 |
| FEI/EIN Number |
830349183
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5112 Lake Deeson Woods Ct, Lakeland, FL, 33805, US |
| Mail Address: | 5112 Lake Deeson Woods Ct, Lakeland, FL, 33805, US |
| ZIP code: | 33805 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689764763 | 2006-10-13 | 2022-07-21 | 5112 LAKE DEESON WOODS CT, LAKELAND, FL, 338057638, US | 200 AVENUE F NE, WINTER HAVEN, FL, 338814131, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 863-381-7632 |
| Fax | 8636065713 |
| Phone | +1 863-381-7647 |
Authorized person
| Name | KEVIN K CARLISLE |
| Role | PRESIDENT |
| Phone | 8633817632 |
Taxonomy
| Taxonomy Code | 363A00000X - Physician Assistant |
| License Number | PA1682 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | DA4132 |
| State | FL |
| Issuer | BCBS |
| Number | X1592 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CARLISLE KEVIN K | President | 5112 Lake Deeson Woods Ct, Lakeland, FL, 33805 |
| CARLISLE JOHANNA G | Vice President | 5112 Lake Deeson Woods Ct, Lakeland, FL, 33805 |
| CARLISLE KEVIN K | Agent | 5112 Lake Deeson Woods Ct, Lakeland, FL, 33805 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-08 | 5112 Lake Deeson Woods Ct, Lakeland, FL 33805 | - |
| REINSTATEMENT | 2016-04-28 | - | - |
| CHANGE OF MAILING ADDRESS | 2016-04-28 | 5112 Lake Deeson Woods Ct, Lakeland, FL 33805 | - |
| REGISTERED AGENT NAME CHANGED | 2016-04-28 | CARLISLE, KEVIN K | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-28 | 5112 Lake Deeson Woods Ct, Lakeland, FL 33805 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-21 |
| ANNUAL REPORT | 2023-02-19 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-03-21 |
| ANNUAL REPORT | 2019-04-07 |
| ANNUAL REPORT | 2018-03-02 |
| ANNUAL REPORT | 2017-03-01 |
| REINSTATEMENT | 2016-04-28 |
| ANNUAL REPORT | 2014-04-22 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6943177307 | 2020-04-30 | 0455 | PPP | 5112 Lake Deeson Woods Court N/A, LAKELAND, FL, 33805-0000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State
