| Entity Name: | SURGICAL ASSOCIATES OF HERNANDO, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Dec 2022 (2 years ago) |
| Document Number: | P22000094095 |
| FEI/EIN Number | 921479428 |
| Address: | 17222 Hospital Blvd, BROOKSVILLE, FL, 34601, US |
| Mail Address: | 17222 Hospital Blvd, BROOKSVILLE, FL, 34601, US |
| ZIP code: | 34601 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043924574 | 2023-01-10 | 2023-01-24 | 17222 HOSPITAL BLVD STE 116, BROOKSVILLE, FL, 346018925, US | 17222 HOSPITAL BLVD STE 116, BROOKSVILLE, FL, 346018925, US | |||||||||||||||
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| Phone | +1 352-877-4749 |
| Fax | 3522838697 |
Authorized person
| Name | DR. SANTOSH POTDAR |
| Role | MD/OWNER |
| Phone | 3528774749 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| POTDAR SANTOSH | Agent | 5328 CHAMPIONSHIP CUP LN, SPRING HILL, FL, 34609 |
| Name | Role | Address |
|---|---|---|
| POTDAR SANTOSH | President | 5328 CHAMPIONSHIP CUP LN, SPRING HILL, FL, 34609 |
| Name | Role | Address |
|---|---|---|
| POTDAR GAYATRI | Vice President | 5328 CHAMPIONSHIP CUP LN, SPRING HILL, FL, 34609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-14 | 17222 Hospital Blvd, STE 116, BROOKSVILLE, FL 34601 | No data |
| CHANGE OF MAILING ADDRESS | 2023-06-14 | 17222 Hospital Blvd, STE 116, BROOKSVILLE, FL 34601 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| Domestic Profit | 2022-12-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
