| Entity Name: | CORDOVA AMBULATORY SURGICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
CORDOVA AMBULATORY SURGICAL 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 10 Jan 1994 (31 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P94000004586 |
| FEI/EIN Number |
593222633
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 545 BRENT LN, PENSACOLA, FL, 32503, UN |
| Mail Address: | 545 BRENT LN, PENSACOLA, FL, 32503 |
| ZIP code: | 32503 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770516338 | 2006-07-08 | 2012-02-27 | 545 BRENT LN, PENSACOLA, FL, 325032003, US | 545 BRENT LN, PENSACOLA, FL, 325032003, US | |||||||||||||||||||||||||
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| Phone | +1 850-477-5110 |
| Fax | 8504777548 |
Authorized person
| Name | ELAINE FERNANDEZ |
| Role | ADMINISTRATION |
| Phone | 8504775110 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 768 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 079046000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARTIN HOWELL J | Director | 545 BRENT LANE, PENSACOLA, FL, 32503 |
| PLUNKETT JOSEPH M | Director | 545 BRENT LN, PENSACOLA, FL, 32503 |
| MARTIN HOWELL J | Agent | 545 BRENT LANE, PENSACOLA, FL, 32503 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| REGISTERED AGENT NAME CHANGED | 2015-03-03 | MARTIN, HOWELL J | - |
| CHANGE OF PRINCIPAL ADDRESS | 2012-02-06 | 545 BRENT LN, PENSACOLA, FL 32503 UN | - |
| CANCEL ADM DISS/REV | 2008-10-07 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | - | - |
| REINSTATEMENT | 2006-09-19 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | - | - |
| REINSTATEMENT | 1998-07-24 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1997-09-26 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000050170 | TERMINATED | 1000000442311 | ESCAMBIA | 2012-12-26 | 2033-01-02 | $ 300.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PENSACOLA SERVICE CENTER, 3670 N L ST STE C, PENSACOLA FL325055254 |
| J13000050188 | TERMINATED | 1000000442312 | ESCAMBIA | 2012-12-26 | 2023-01-02 | $ 351.80 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PENSACOLA SERVICE CENTER, 3670 N L ST STE C, PENSACOLA FL325055254 |
| J11000326228 | TERMINATED | 1000000216391 | ESCAMBIA | 2011-05-18 | 2031-05-25 | $ 1,995.64 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PENSACOLA SERVICE CENTER, 3670 N L ST STE C, PENSACOLA FL325055254 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-05-01 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-02-21 |
| ANNUAL REPORT | 2016-03-14 |
| ANNUAL REPORT | 2015-03-03 |
| Reg. Agent Resignation | 2014-12-08 |
| Off/Dir Resignation | 2014-12-08 |
| ANNUAL REPORT | 2014-04-28 |
| ANNUAL REPORT | 2013-04-12 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 338845233 | 0419700 | 2013-02-13 | 545 BRENT LANE, PENSACOLA, FL, 32503 | |||||||||||||
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Date of last update: 02 Mar 2025
Sources: Florida Department of State
