| Entity Name: | TALLAHASSEE ENDOSCOPY CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
TALLAHASSEE ENDOSCOPY 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: |
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: | 25 Jan 1991 (34 years ago) |
| Last Event: | AMENDED AND RESTATED ARTICLES |
| Event Date Filed: | 21 Feb 1994 (31 years ago) |
| Document Number: | S27342 |
| FEI/EIN Number |
593050876
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2400 MICCOSUKEE RD, TALLAHASSEE, FL, 32308 |
| Mail Address: | 2400 MICCOSUKEE RD, TALLAHASSEE, FL, 32308 |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740201607 | 2006-07-23 | 2008-06-05 | 2400 MICCOSUKEE RD, TALLAHASSEE, FL, 323085314, US | 2400 MICCOSUKEE RD, TALLAHASSEE, FL, 323085314, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 850-205-8404 |
| Fax | 8502161321 |
Authorized person
| Name | CHARLOTTE L MADANI |
| Role | BUSINESS OFFICE MANAGER |
| Phone | 8502058404 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 749 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS PROVIDER NUMBER |
| Number | 61E |
| State | FL |
| Issuer | FLORIDA MEDICAID NUMBER |
| Number | 07069900 |
| State | FL |
| Issuer | RRMCR PROVIDER NUMBER |
| Number | 490001580 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ ANDRES F | President | 2400 MICCOSUKEE RD, TALLAHASSEE, FL, 32308 |
| RODRIGUEZ ANDRES F | Director | 2400 MICCOSUKEE RD, TALLAHASSEE, FL, 32308 |
| MANGAN MICHAEL J. | Secretary | 2400 MICCOSUKEE ROAD, TALLAHASSEE, FL |
| MANGAN MICHAEL J. | Treasurer | 2400 MICCOSUKEE ROAD, TALLAHASSEE, FL |
| MANGAN MICHAEL J. | Director | 2400 MICCOSUKEE ROAD, TALLAHASSEE, FL |
| SINGH HARDEEP | Vice President | 2400 MICCOSUKEE RD, TALLAHASSEE, FL, 32308 |
| SINGH HARDEEP | Director | 2400 MICCOSUKEE RD, TALLAHASSEE, FL, 32308 |
| SOMERSET JOSHUA D | Vice President | 2400 MICCOSUKEE RD, TALLAHASSEE, FL, 32308 |
| SOMERSET JOSHUA D | Director | 2400 MICCOSUKEE RD, TALLAHASSEE, FL, 32308 |
| COTTRELL CHARLES R | Vice President | 2400 MICCOSUKEE RD, TALLAHASSEE, FL, 32308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2008-01-31 | RODRIGUEZ, ANDRES F | - |
| AMENDED AND RESTATEDARTICLES | 1994-02-21 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 1992-05-14 | 2400 MICCOSUKEE RD, TALLAHASSEE, FL 32308 | - |
| CHANGE OF MAILING ADDRESS | 1992-05-14 | 2400 MICCOSUKEE RD, TALLAHASSEE, FL 32308 | - |
| REGISTERED AGENT ADDRESS CHANGED | 1992-05-14 | 2400 MICCOSUKEE RD, TALLAHASSEE, FL 32308 | - |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-07-30 |
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-06-03 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-02-06 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-01-25 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 337248827 | 0419700 | 2012-11-07 | 2400 MICCOSUKEE ROAD, TALLAHASSEE, FL, 32308 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Citation ID | 01001 |
| Citaton Type | Other |
| Standard Cited | 19100134 C01 |
| Issuance Date | 2013-01-23 |
| Abatement Due Date | 2013-02-19 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2013-02-19 |
| Nr Instances | 1 |
| Nr Exposed | 2 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.134(c)(1): A written respiratory protection program that included the provisions in 29 CFR 1910.134(c)(1)(i) - (ix) with worksite specific procedures was not established and implemented for required respirator use: a. On or about November 7, 2012, employees were required to wear 3M 1860 particulate respirators or 3M dust masks while cleaning the scope auto washer machines in the Endoscopy Work Room. The employer had not established nor implemented a written respirator protection program. |
| Citation ID | 01002 |
| Citaton Type | Other |
| Standard Cited | 19101048 D01 I |
| Issuance Date | 2013-01-23 |
| Abatement Due Date | 2013-03-12 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2013-02-19 |
| Nr Instances | 1 |
| Nr Exposed | 2 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1048(d)(1)(i): Employees of a workplace covered by this standard were not monitored to determine their exposure to formaldehyde: a. On or about November 7, 2012, the employer did not provide the initial monitoring for employees who were exposed to formaldehyde. |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
