| Entity Name: | ST. AUGUSTINE SURGERY CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 16 Jun 1995 (30 years ago) |
| Date of dissolution: | 04 Oct 2002 (22 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 04 Oct 2002 (22 years ago) |
| Document Number: | P95000048081 |
| FEI/EIN Number | 59-3369119 |
| Address: | 1802 LARGO ROAD, JACKSONVILLE, FL 32207 |
| Mail Address: | 1802 LARGO ROAD, JACKSONVILLE, FL 32207 |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548224041 | 2006-04-13 | 2020-08-22 | 180 SOUTHPARK BLVD, ST AUGUSTINE, FL, 320864120, US | 180 SOUTHPARK BLVD, ST AUGUSTINE, FL, 320864120, US | |||||||||||||||||||
|
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| Phone | +1 904-823-1447 |
| Fax | 9048239928 |
Authorized person
| Name | ANN GEIER |
| Role | VP OF OPERATIONS |
| Phone | 8433030008 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1057 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TASSONE, FRANK ESQ. | Agent | 1833 ATLANTIC BOULEVARD, JACKSONVILLE, FL 32207 |
| Name | Role | Address |
|---|---|---|
| LEWIS, BRETT J | Director | 1802 LARGO RD, JACKSONVILLE, FL 32207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2002-10-04 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2002-03-25 | TASSONE, FRANK ESQ. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2002-03-25 | 1833 ATLANTIC BOULEVARD, JACKSONVILLE, FL 32207 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1999-04-26 | 1802 LARGO ROAD, JACKSONVILLE, FL 32207 | No data |
| CHANGE OF MAILING ADDRESS | 1999-04-26 | 1802 LARGO ROAD, JACKSONVILLE, FL 32207 | No data |
| Name | Date |
|---|---|
| Reg. Agent Change | 2002-03-25 |
| ANNUAL REPORT | 2001-01-10 |
| ANNUAL REPORT | 2000-07-17 |
| ANNUAL REPORT | 1999-04-26 |
| ANNUAL REPORT | 1998-03-18 |
| ANNUAL REPORT | 1997-05-14 |
| ANNUAL REPORT | 1996-05-01 |
| DOCUMENTS PRIOR TO 1997 | 1995-06-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
