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FLORIDA COASTAL SURGERY CENTER, INC. - Florida Company Profile

Company Details

Entity Name: FLORIDA COASTAL SURGERY CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FLORIDA COASTAL SURGERY 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: 03 Sep 1997 (28 years ago)
Date of dissolution: 09 Jan 2017 (8 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 09 Jan 2017 (8 years ago)
Document Number: P97000076231
FEI/EIN Number 593473188

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 801 ANCHOR RODE DR, SUITE 100, NAPLES, FL, 34103
Mail Address: 801 ANCHOR RODE DR, SUITE 100, NAPLES, FL, 34103
ZIP code: 34103
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003812686 2005-06-28 2022-07-21 801 ANCHOR RODE DRIVE, SUITE 100, NAPLES, FL, 341032742, US 801 ANCHOR RODE DRIVE, SUITE 100, NAPLES, FL, 341032742, US

Contacts

Phone +1 239-263-1717
Fax 2394039410

Authorized person

Name MS. NICOLE M. BABB
Role BILLING MANAGER
Phone 2392631717

Taxonomy

Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
License Number 1067
State FL
Is Primary Yes

Other Provider Identifiers

Issuer UHC
Number 313355
State FL
Issuer BCBS
Number 67Y
State FL

Key Officers & Management

Name Role Address
ZACK LISA DDr. Director 801 ANCHOR RODE DR, NAPLES, FL, 34103
Kovach Bradley TDr. Vice President 801 ANCHOR RODE DR, NAPLES, FL, 34103
ZACK LISA DDr. Agent 801 ANCHOR RODE DR., NAPLES, FL, 34103

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2017-01-09 - -
REGISTERED AGENT NAME CHANGED 2013-01-21 ZACK, LISA D, Dr. -
REINSTATEMENT 2010-03-11 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 - -
REGISTERED AGENT ADDRESS CHANGED 2002-03-13 801 ANCHOR RODE DR., SUITE 100, NAPLES, FL 34103 -

Documents

Name Date
VOLUNTARY DISSOLUTION 2017-01-09
ANNUAL REPORT 2016-02-16
ANNUAL REPORT 2015-04-08
ANNUAL REPORT 2014-01-16
ANNUAL REPORT 2013-01-21
ANNUAL REPORT 2012-01-06
ANNUAL REPORT 2011-02-04
REINSTATEMENT 2010-03-11
ANNUAL REPORT 2008-08-26
ANNUAL REPORT 2007-03-12

Date of last update: 01 Apr 2025

Sources: Florida Department of State