| Entity Name: | CLEARWATER AMBULATORY SURGICAL CENTERS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
CLEARWATER AMBULATORY SURGICAL CENTERS, 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 13 Nov 1990 (34 years ago) |
| Document Number: | S13000 |
| FEI/EIN Number |
593044282
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 401 CORBETT STREET, SUITE 220, CLEARWATER, FL, 33756, US |
| Mail Address: | 401 CORBETT STREET, SUITE 220, CLEARWATER, FL, 33756, US |
| ZIP code: | 33756 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417949280 | 2005-08-18 | 2012-03-08 | 401 CORBETT ST, STE 220, CLEARWATER, FL, 337567309, US | 401 CORBETT ST, STE 220, CLEARWATER, FL, 337567309, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-443-0100 |
| Fax | 7274614893 |
Authorized person
| Name | DR. ERIC D WESTON |
| Role | MEDICAL DIRECTOR |
| Phone | 7274430100 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 925 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | UNITED HEALTHCARE |
| Number | 6805119 |
| State | FL |
| Issuer | AETNA PROVIDER # |
| Number | 1044849 |
| State | FL |
| Issuer | BCBS FL PROVIDER# |
| Number | 62H |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BERNER JODY SDr. | President | 401 CORBETT STREET, CLEARWATER, FL, 33756 |
| MOORE ANMARIE EDr. | Director | 401 CORBETT STREET, CLEARWATER, FL, 33756 |
| MANITSAS SARAH DR. | Director | 401 CORBETT STREET, CLEARWATER, FL, 33756 |
| BERNER JODY S | Agent | 401 CORBETT, CLEARWATER, FL, 33756 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000078636 | CLEARWATER ENDOSCOPY CENTER | ACTIVE | 2022-06-30 | 2027-12-31 | - | CLEARWATER AMBULATORY SURGICAL CTRS, INC, 401 CORBETT STREET SUITE 220, CLEARWATER, FL, 33756 |
| G10000032688 | CLEARWATER ENDOSCOPY CENTER | EXPIRED | 2010-04-13 | 2015-12-31 | - | 401 CORBETT STREET, SUITE 220, CLEARWATER, FL, 33756 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-07-09 | 401 CORBETT, SUITE 220, CLEARWATER, FL 33756 | - |
| REGISTERED AGENT NAME CHANGED | 2021-03-22 | BERNER, JODY S | - |
| CHANGE OF PRINCIPAL ADDRESS | 2005-07-08 | 401 CORBETT STREET, SUITE 220, CLEARWATER, FL 33756 | - |
| CHANGE OF MAILING ADDRESS | 2005-07-08 | 401 CORBETT STREET, SUITE 220, CLEARWATER, FL 33756 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-03-05 |
| ANNUAL REPORT | 2022-03-28 |
| AMENDED ANNUAL REPORT | 2021-07-09 |
| ANNUAL REPORT | 2021-03-22 |
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-02-19 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-01-20 |
| ANNUAL REPORT | 2016-04-18 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1920358608 | 2021-03-13 | 0455 | PPS | 401 Corbett St Ste 220, Belleair, FL, 33756-7302 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1216327109 | 2020-04-10 | 0455 | PPP | 401 CORBETT ST STE 220, BELLEAIR, FL, 33756-3305 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State
