| Entity Name: | MUSCULOSKELETAL AMBULATORY SURGERY CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Jan 1998 (27 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 29 Oct 2014 (10 years ago) |
| Document Number: | P98000008468 |
| FEI/EIN Number | 650829385 |
| Address: | 8000 SR 64 E, BRADENTON, FL, 34212, US |
| Mail Address: | 8000 SR 64 E, BRADENTON, FL, 34212, US |
| ZIP code: | 34212 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760627830 | 2008-12-03 | 2010-07-21 | 6015 POINTE WEST BLVD, BRADENTON, FL, 342095532, US | 1917 WORTH CT, BRADENTON, FL, 342112110, US | |||||||||||||||||||||||||||||
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| Phone | +1 941-782-0101 |
Authorized person
| Name | MR. PAUL M DUCK |
| Role | CEO |
| Phone | 9417921404 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1314 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 075448000 |
| State | FL |
| Issuer | BCBS OF FL |
| Number | 6AA |
| State | FL |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2549000D568U2Q0SD136 | P98000008468 | US-FL | GENERAL | ACTIVE | No data | |||||||||||||||||||
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| Legal | c/o Cf Registered Agent, Inc., 100 S. Ashley Drive, Ste 400, Tampa, US-FL, US, 33602 |
| Headquarters | 6015 Pointe West Blvd., Bradenton, US-FL, US, 34209 |
Registration details
| Registration Date | 2021-05-07 |
| Last Update | 2022-05-08 |
| Status | LAPSED |
| Next Renewal | 2022-05-07 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | P98000008468 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MUSCULOSKELETAL AMBULATORY SURGERY CENTER RETIREMENT PLAN | 2009 | 650829385 | 2010-09-13 | MUSCULOSKELETAL AMBULATORY SURGERY CENTER | 16 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 650829385 |
| Plan administrator’s name | MUSCULOSKELETAL AMBULATORY SURGERY CENTER |
| Plan administrator’s address | 6015 POINTE WEST BOULEVARD, BRADENTON, FL, 34209 |
| Administrator’s telephone number | 9417820200 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-13 |
| Name of individual signing | PAUL DUCK |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| CF REGISTERED AGENT, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| KUMAR AVINASH GM.D. | President | 8000 SR 64 E., BRADENTON, FL, 34212 |
| Name | Role | Address |
|---|---|---|
| KUMAR AVINASH GM.D. | Secretary | 8000 SR 64 E., BRADENTON, FL, 34212 |
| Name | Role | Address |
|---|---|---|
| KUMAR AVINASH GM.D. | Treasurer | 8000 SR 64 E., BRADENTON, FL, 34212 |
| Name | Role | Address |
|---|---|---|
| KUMAR AVINASH GM.D. | Director | 8000 SR 64 E., BRADENTON, FL, 34212 |
| SCHAFER STEVEN M.D. | Director | 8000 SR 64 E., BRADENTON, FL, 34212 |
| VALADIE ARTHUR LM.D. | Director | 8000 SR 64 E, BRADENTON, FL, 34212 |
| Name | Role | Address |
|---|---|---|
| LEMAY PAIGE M.D. | Chief Executive Officer | 8000 SR 64 E., BRADENTON, FL, 34212 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000111237 | THE SURGERY CENTER AT POINTE WEST - EAST | EXPIRED | 2014-11-04 | 2024-12-31 | No data | 8000 SR64 E, BRADENTON, FL, 34212 |
| G99120900202 | THE SURGERY CENTER AT POINTE WEST | EXPIRED | 1999-04-30 | 2024-12-31 | No data | 8000 SR 64 E, BRADENTON, FL, 34212 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-07-12 | 8000 SR 64 E, BRADENTON, FL 34212 | No data |
| CHANGE OF MAILING ADDRESS | 2022-07-12 | 8000 SR 64 E, BRADENTON, FL 34212 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-11-09 | 100 S. ASHLEY DRIVE, STE 400, TAMPA, FL 33602 | No data |
| REINSTATEMENT | 2014-10-29 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-10-29 | CF REGISTERED AGENT, INC. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 2004-10-27 | No data | No data |
| AMENDMENT | 2002-06-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-02-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
