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CLEARWATER AMBULATORY SURGICAL CENTERS, INC. - Florida Company Profile

Company Details

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

National Provider Identifier

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

Contacts

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

Key Officers & Management

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

Fictitious Names

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

Events

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 -

Documents

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1920358608 2021-03-13 0455 PPS 401 Corbett St Ste 220, Belleair, FL, 33756-7302
Loan Status Date 2022-04-06
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 160000
Loan Approval Amount (current) 160000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 437740
Servicing Lender Name Flagship Bank
Servicing Lender Address 29750 US Hwy 19 North, CLEARWATER, FL, 33761-1510
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Belleair, PINELLAS, FL, 33756-7302
Project Congressional District FL-13
Number of Employees 17
NAICS code 621493
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 437740
Originating Lender Name Flagship Bank
Originating Lender Address CLEARWATER, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 161644.44
Forgiveness Paid Date 2022-04-06
1216327109 2020-04-10 0455 PPP 401 CORBETT ST STE 220, BELLEAIR, FL, 33756-3305
Loan Status Date 2021-03-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 160000
Loan Approval Amount (current) 160000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 437740
Servicing Lender Name Flagship Bank
Servicing Lender Address 29750 US Hwy 19 North, CLEARWATER, FL, 33761-1510
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address BELLEAIR, PINELLAS, FL, 33756-3305
Project Congressional District FL-13
Number of Employees 17
NAICS code 621493
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 437740
Originating Lender Name Flagship Bank
Originating Lender Address CLEARWATER, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 161404.44
Forgiveness Paid Date 2021-02-25

Date of last update: 01 Mar 2025

Sources: Florida Department of State