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  5. NORTH FLORIDA SURGERY CENTER, INC.

NORTH FLORIDA SURGERY CENTER, INC. - Florida Company Profile

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Company Details

Entity Name: NORTH FLORIDA SURGERY CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 23 Feb 1996 (30 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 01 May 1998 (27 years ago)
Document Number: P96000017306
FEI/EIN Number 593377918
Address: 256 PROFESSIONAL GLEN, SUITE 101, LAKE CITY, FL, 32025, US
Mail Address: PO BOX 3719, LAKE CITY, FL, 32056-3719, US
ZIP code: 32025
City: Lake City
County: Columbia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Dumas Sarah C Admi 503 SW Grandview St, Lake City, FL, 32025
BODENDORFER KARL DMD President 256 PROFESSIONAL GLEN, LAKE CITY, FL, 32025
Kreienheder Crystal L Secretary 1223 SW Lake Montgomery Ave, Lake City, FL, 32025
Bodendorfer Karl DMD Agent 256 SW PROFESSIONAL GLEN, LAKE CITY, FL, 32025

National Provider Identifier

NPI Number:
1659535367
Link:
View on NPI website

Authorized Person:

Name:
DR. RICHARD REICHERT
Role:
PRESIDENT
Phone:
3867588937

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Phone:
+1 386-758-8937
Fax:
3867552169

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-04-16 Bodendorfer, Karl D, MD -
CHANGE OF MAILING ADDRESS 2021-01-05 256 PROFESSIONAL GLEN, SUITE 101, LAKE CITY, FL 32025 -
CHANGE OF PRINCIPAL ADDRESS 2009-04-09 256 PROFESSIONAL GLEN, SUITE 101, LAKE CITY, FL 32025 -
REGISTERED AGENT ADDRESS CHANGED 2009-04-09 256 SW PROFESSIONAL GLEN, SUITE 101, LAKE CITY, FL 32025 -
CORPORATE MERGER 1998-05-01 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. CORPORATE MERGER NUMBER 700000018057

Documents

Name Date
AMENDED ANNUAL REPORT 2024-04-16
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-02-20
ANNUAL REPORT 2022-01-07
ANNUAL REPORT 2021-01-05
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-01-04
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-04
AMENDED ANNUAL REPORT 2016-07-25

USAspending Awards / Financial Assistance

Date:
2021-01-23
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
88600.00
Total Face Value Of Loan:
88600.00
Date:
2020-04-25
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-25
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-11
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
-6600.00
Total Face Value Of Loan:
82100.00
Date:
2020-04-07
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
88700.00
Total Face Value Of Loan:
82100.00

OSHA's Inspections within Industry

Inspection Summary

Date:
2013-03-13
Type:
Planned
Address:
256 PROFESSIONAL GLEN, STE 101, LAKE CITY, FL, 32025
Safety Health:
Health
Scope:
Complete

Paycheck Protection Program

Jobs Reported:
15
Initial Approval Amount:
$88,600
Date Approved:
2021-01-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$88,600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
$89,126.68
Servicing Lender:
First Federal Bank
Use of Proceeds:
Payroll: $88,596
Utilities: $1
Jobs Reported:
13
Initial Approval Amount:
$88,700
Date Approved:
2020-04-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$82,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$82,727.15
Servicing Lender:
First Federal Bank
Use of Proceeds:
Payroll: $82,100

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Date of last update: 02 Aug 2025

Sources: Florida Department of State

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