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  5. ST. LUCIE SURGICAL CENTER, P.A.

ST. LUCIE SURGICAL CENTER, P.A. - Florida Company Profile

Company Details

Entity Name: ST. LUCIE SURGICAL CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

ST. LUCIE SURGICAL CENTER, P.A. 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: 26 Feb 1999 (26 years ago)
Date of dissolution: 25 Sep 2020 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (5 years ago)
Document Number: P99000018517
FEI/EIN Number 650899311

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1300 N LAWNWOOD CIRCLE, FORT PIERCE, FL, 34950
Mail Address: 1300 N LAWNWOOD CIRCLE, FORT PIERCE, FL, 34950
ZIP code: 34950
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790761393 2005-12-16 2012-02-20 1300 N LAWNWOOD CIR, FORT PIERCE, FL, 349504884, US 1300 N LAWNWOOD CIR, FORT PIERCE, FL, 349504884, US

Contacts
Phone +1 772-429-5201
Fax 7724295204

Authorized person
Name DR. ANJANAYA PRASAD KORLIPARA
Role PRESIDENT
Phone 7724295201

Taxonomy
Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
License Number 1107
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 070735000
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ST. LUCIE SURGICAL CENTER 401(K) PLAN 2013 650899311 2014-05-08 ST. LUCIE SURGICAL CENTER, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-11-01
Business code 621900
Sponsor’s telephone number 7724295201
Plan sponsor’s address 1300 N. LAWNWOOD CIRCLE, FORT PIERCE, FL, 34950

Signature of
Role Plan administrator
Date 2014-05-08
Name of individual signing PRASAD KORLIPARA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-08
Name of individual signing PRASAD KORLIPARA
Valid signature Filed with authorized/valid electronic signature
ST. LUCIE SURGICAL CENTER 401(K) PLAN 2013 650899311 2014-05-08 ST. LUCIE SURGICAL CENTER, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-11-01
Business code 621900
Sponsor’s telephone number 7724295201
Plan sponsor’s address 1300 N. LAWNWOOD CIRCLE, FORT PIERCE, FL, 34950

Signature of
Role Plan administrator
Date 2014-05-08
Name of individual signing PRASAD KORLIPARA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-08
Name of individual signing PRASAD KORLIPARA
Valid signature Filed with authorized/valid electronic signature
ST. LUCIE SURGICAL CENTER 401(K) PLAN 2012 650899311 2013-05-01 ST. LUCIE SURGICAL CENTER, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-11-01
Business code 621900
Sponsor’s telephone number 7724295201
Plan sponsor’s address 1300 N. LAWNWOOD CIRCLE, FORT PIERCE, FL, 34950

Signature of
Role Plan administrator
Date 2013-05-01
Name of individual signing PATRICIA DE LA PAZ
Valid signature Filed with authorized/valid electronic signature
ST. LUCIE SURGICAL CENTER 401(K) PLAN 2011 650899311 2012-06-12 ST. LUCIE SURGICAL CENTER, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-11-01
Business code 621900
Sponsor’s telephone number 7724295201
Plan sponsor’s address 1300 N. LAWNWOOD CIRCLE, FORT PIERCE, FL, 34950

Plan administrator’s name and address
Administrator’s EIN 650899311
Plan administrator’s name ST. LUCIE SURGICAL CENTER, P.A.
Plan administrator’s address 1300 N. LAWNWOOD CIRCLE, FORT PIERCE, FL, 34950
Administrator’s telephone number 7724295201

Signature of
Role Plan administrator
Date 2012-06-12
Name of individual signing PATRICIA DE LA PAZ
Valid signature Filed with authorized/valid electronic signature
ST. LUCIE SURGICAL CENTER 401(K) PLAN 2010 650899311 2011-05-18 ST. LUCIE SURGICAL CENTER, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-11-01
Business code 621900
Sponsor’s telephone number 7724295201
Plan sponsor’s address 1300 N. LAWNWOOD CIRCLE, FORT PIERCE, FL, 34950

Plan administrator’s name and address
Administrator’s EIN 650899311
Plan administrator’s name ST. LUCIE SURGICAL CENTER, P.A.
Plan administrator’s address 1300 N. LAWNWOOD CIRCLE, FORT PIERCE, FL, 34950
Administrator’s telephone number 7724295201

Signature of
Role Plan administrator
Date 2011-05-18
Name of individual signing PATRICIA DE LA PAZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-18
Name of individual signing PATRICIA DE LA PAZ
Valid signature Filed with authorized/valid electronic signature
ST. LUCIE SURGICAL CENTER 401(K) PLAN 2009 650899311 2010-07-01 ST. LUCIE SURGICAL CENTER, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-11-01
Business code 621900
Sponsor’s telephone number 7724295201
Plan sponsor’s address 1300 N. LAWNWOOD CIRCLE, FORT PIERCE, FL, 34950

Plan administrator’s name and address
Administrator’s EIN 650899311
Plan administrator’s name ST. LUCIE SURGICAL CENTER, P.A.
Plan administrator’s address 1300 N. LAWNWOOD CIRCLE, FORT PIERCE, FL, 34950
Administrator’s telephone number 7724295201

Signature of
Role Plan administrator
Date 2010-07-01
Name of individual signing PATRICIA DE LA PAZ
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
KATTA JOSEPH J Director 1900 NEBRASKA AVE., STE. 5, FT. PIERCE, FL, 34950
KATTA JOSEPH J Vice President 1900 NEBRASKA AVE., STE. 5, FT. PIERCE, FL, 34950
KATTA JOSEPH J Treasurer 1900 NEBRASKA AVE., STE. 5, FT. PIERCE, FL, 34950
KORLIPARA A. PRASAD R M Director 1331 N LAWNWOOD CIR, FT. PIERCE, FL, 34950
KORLIPARA A. PRASAD R M President 1331 N LAWNWOOD CIR, FT. PIERCE, FL, 34950
KORLIPARA A. PRASAD R M Secretary 1331 N LAWNWOOD CIR, FT. PIERCE, FL, 34950
KATTA JOSEPH J Agent 1300 N. LAWNWOOD CIR., FT. PIERCE, FL, 34950

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
REGISTERED AGENT ADDRESS CHANGED 2005-01-24 1300 N. LAWNWOOD CIR., FT. PIERCE, FL 34950 -
CHANGE OF PRINCIPAL ADDRESS 2000-04-14 1300 N LAWNWOOD CIRCLE, FORT PIERCE, FL 34950 -
CHANGE OF MAILING ADDRESS 2000-04-14 1300 N LAWNWOOD CIRCLE, FORT PIERCE, FL 34950 -

Documents

Name Date
ANNUAL REPORT 2019-01-22
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-02-04
ANNUAL REPORT 2015-01-22
ANNUAL REPORT 2014-01-22
ANNUAL REPORT 2013-04-11
ANNUAL REPORT 2012-04-09
ANNUAL REPORT 2011-12-19
ANNUAL REPORT 2011-02-22

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Florida Limited Liability Co. (2012 - 2024)
ST. LUCIE DIAGNOSTIC CORPORATION - Inactive
Domestic Profit (1991 - 2002)
ST. LUCIE DIAGNOSTIC CORPORATION - Inactive
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TREASURE COAST SURGICAL CENTER, INC. - Active
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TREASURE COAST SURGICAL CENTER, INC. - Active
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JOSEPH J. KATTA, M.D., P.A. - Active
Domestic Profit (1993 )
JOSEPH J. KATTA, M.D., P.A. - Active
Domestic Profit (1993 )
FRINGING REEF INVESTMENTS LLC - Active
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METROPOLITAN ANESTHESIA GROUP, P.L. - Inactive
Florida Limited Liability Co. (2005 - 2020)

Companies related by address

No other companies in our directory share the same address as ST. LUCIE SURGICAL CENTER, P.A.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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