| Entity Name: | SUNCOAST SURGICAL ASSISTING ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 05 Nov 1993 (31 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P93000078012 |
| FEI/EIN Number | 59-3213782 |
| Address: | 8303 BLANTON ST, SPRING HILL, FL 34606 |
| Mail Address: | 8303 BLANTON ST, SPRING HILL, FL 34606 |
| ZIP code: | 34606 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447211925 | 2006-04-01 | 2008-02-27 | 8303 BLANTON STREET, SPRING HILL, FL, 34606, US | 8303 BLANTON STREET, SPRING HILL, FL, 34606, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 352-686-3154 |
| Fax | 3526882751 |
Authorized person
| Name | MR. LOUIS R RENSHAW JR. |
| Role | OWNER |
| Phone | 3526863154 |
Taxonomy
| Taxonomy Code | 363A00000X - Physician Assistant |
| License Number | 20050027523 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | DB6982 |
| Issuer | WELL CARE |
| Number | N0997 |
| Issuer | BLUE CROSS |
| Number | X1587 |
| Name | Role | Address |
|---|---|---|
| RENSHAW, LOUIS R | Agent | 8303 BLANTON ST, SPRING HILL, FL 34606 |
| Name | Role | Address |
|---|---|---|
| RENSHAW, LOUIS R | Director | 8303 BLANTON ST, SPRING HILL, FL 34606 |
| Name | Role | Address |
|---|---|---|
| RENSHAW, LOUIS R | President | 8303 BLANTON ST, SPRING HILL, FL 34606 |
| Name | Role | Address |
|---|---|---|
| RENSHAW, LOUIS R | Secretary | 8303 BLANTON ST, SPRING HILL, FL 34606 |
| Name | Role | Address |
|---|---|---|
| RENSHAW, LOUIS R | Treasurer | 8303 BLANTON ST, SPRING HILL, FL 34606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-03-19 | 8303 BLANTON ST, SPRING HILL, FL 34606 | No data |
| REGISTERED AGENT NAME CHANGED | 2004-03-19 | RENSHAW, LOUIS R | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-03-19 | 8303 BLANTON ST, SPRING HILL, FL 34606 | No data |
| CHANGE OF MAILING ADDRESS | 2004-03-19 | 8303 BLANTON ST, SPRING HILL, FL 34606 | No data |
| REINSTATEMENT | 2003-10-31 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-02-23 |
| ANNUAL REPORT | 2010-02-03 |
| ANNUAL REPORT | 2009-01-27 |
| ANNUAL REPORT | 2008-02-05 |
| ANNUAL REPORT | 2007-02-27 |
| ANNUAL REPORT | 2006-01-11 |
| ANNUAL REPORT | 2005-02-01 |
| ANNUAL REPORT | 2004-03-19 |
| REINSTATEMENT | 2003-10-31 |
| ANNUAL REPORT | 2002-05-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
