| Entity Name: | BREVARD SURGERY CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 10 Feb 1992 (33 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 21 Jan 2014 (11 years ago) |
| Document Number: | V12587 |
| FEI/EIN Number | 59-3128478 |
| Address: | 665 APOLLO BLVD., MELBOURNE, FL 32901 |
| Mail Address: | 665 APOLLO BLVD., MELBOURNE, FL 32901 |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770528838 | 2006-06-20 | 2022-07-05 | 665 S APOLLO BLVD, MELBOURNE, FL, 329011485, US | 665 S APOLLO BLVD, MELBOURNE, FL, 329011485, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 321-984-3200 |
| Fax | 3219842620 |
Authorized person
| Name | ROBYN A MCDANIEL |
| Role | DIRECTOR OF FINANCE |
| Phone | 3218217446 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | PH13979 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 64E |
| State | FL |
| Issuer | MEDICAID |
| Number | 079180600 |
| State | FL |
| Issuer | MEDICARE ID TYPE UNSPECIFIED |
| Number | 490002578 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Trespalacios, Rafael | Agent | 665 APOLLO BLVD., MELBOURNE, FL 32901 |
| Name | Role | Address |
|---|---|---|
| Trespalacios, Rafael R | President | 665 S APOLLO BLVD, MELBOURNE, FL 32901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2016-03-28 | Trespalacios, Rafael | No data |
| AMENDMENT | 2014-01-21 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-01-21 | 665 APOLLO BLVD., MELBOURNE, FL 32901 | No data |
| NAME CHANGE AMENDMENT | 1994-09-16 | BREVARD SURGERY CENTER, INC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1994-09-16 | 665 APOLLO BLVD., MELBOURNE, FL 32901 | No data |
| CHANGE OF MAILING ADDRESS | 1994-09-16 | 665 APOLLO BLVD., MELBOURNE, FL 32901 | No data |
| REINSTATEMENT | 1994-09-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1994-08-26 | No data | No data |
| Title | Case Number | Docket Date | Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| MARKS STREET, LLC VS SUMMITBRIDGE NATIONAL INVESTMENTS V, LLC, RAFAEL TRESPALACIOS A/K/A RAFAEL TRESPALACIOS, M.D., THMIH, INC., BREVARD EYE CENTER, INC., BREVARD SURGERY CENTER, INC., MEDICAL CITY EYE, ETC., ET AL. | 5D2019-2150 | 2019-07-24 | Closed | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Name | MARKS STREET, LLC |
| Role | Appellant |
| Status | Active |
| Representations | JAMES E. SHEPHERD |
| Name | BREVARD EYE CENTER, INC. |
| Role | Appellee |
| Status | Active |
| Name | THMIH, INC. |
| Role | Appellee |
| Status | Active |
| Name | RAFAEL TRESPALACIOS |
| Role | Appellee |
| Status | Active |
| Name | BREVARD SURGERY CENTER, INC. |
| Role | Appellee |
| Status | Active |
| Name | SUMMITBRIDGE NATIONAL INVESTMENTS V, LLC |
| Role | Appellee |
| Status | Active |
| Representations | GEOFFREY AARONSON, SAMUEL JASON CAPUANO, ROY S. KOBERT, CHRISTIAN JOSEPH GRAHAM, Michael A. Nardella, JONATHAN M. SYKES |
| Name | MEDICAL CITY EYE CENTER, P.A. |
| Role | Appellee |
| Status | Active |
| Name | STEVE BLACK, INC. |
| Role | Appellee |
| Status | Active |
| Name | Hon. Kevin B. Weiss |
| Role | Judge/Judicial Officer |
| Status | Active |
| Name | Orange Cty Circuit Ct Clerk |
| Role | Lower Tribunal Clerk |
| Status | Active |
Docket Entries
| Docket Date | 2019-10-22 |
| Type | Mediation |
| Subtype | Mediation Questionnaire |
| Description | Mediation Questionnaire ~ AA JAMES E. SHEPHERD 947873 |
| On Behalf Of | MARKS STREET, LLC |
| Docket Date | 2020-02-11 |
| Type | Mandate |
| Subtype | Notice Memorandum |
| Description | Notice Memorandum |
| Docket Date | 2020-02-11 |
| Type | Record |
| Subtype | Returned Records |
| Description | Returned Records ~ NO RECORD EFILED |
| Docket Date | 2020-01-23 |
| Type | Order |
| Subtype | Order on Motion/Notice Voluntary Dismissal (non-dispositive) |
| Description | Order Granting Voluntary Dismissal |
| Docket Date | 2020-01-23 |
| Type | Disposition |
| Subtype | Dismissed |
| Description | Dismissed - Order by Clerk |
| Docket Date | 2020-01-22 |
| Type | Mediation |
| Subtype | Mediation Report |
| Description | Mediation Report ~ MD VIKTORIA COLLINS 0521299 |
| Docket Date | 2020-01-22 |
| Type | Order |
| Subtype | Order Striking Filing |
| Description | ORD-Stricken ~ W/IN 5 DYS FILE AMENDED JOINT NTC VOL DISMISS |
| Docket Date | 2020-01-22 |
| Type | Motions Other |
| Subtype | Motion/Notice Voluntary Dismissal |
| Description | Notice of Voluntary Dismissal ~ JT STIP; STRICKEN PER 1/22 ORDER |
| On Behalf Of | MARKS STREET, LLC |
| Docket Date | 2019-12-23 |
| Type | Mediation |
| Subtype | Mediation Report |
| Description | Mediation Report ~ MD VIKTORIA COLLINS 0521299 |
| Docket Date | 2019-11-04 |
| Type | Order |
| Subtype | Order Appointing Mediator |
| Description | ORD-Appointing Mediator |
| Docket Date | 2019-11-01 |
| Type | Mediation |
| Subtype | Response to Order of Referral to Mediation |
| Description | Response to Order of Referral to Mediation |
| On Behalf Of | MARKS STREET, LLC |
| Docket Date | 2019-10-25 |
| Type | Order |
| Subtype | Order of Referral to Mediation |
| Description | ORD-Referral To Mediation |
| Docket Date | 2019-10-21 |
| Type | Mediation |
| Subtype | Confidential Statement |
| Description | Confidential Statement ~ AE JONATHAN M. SYKES 73176 |
| On Behalf Of | SUMMITBRIDGE NATIONAL INVESTMENTS V, LLC |
| Docket Date | 2019-10-18 |
| Type | Notice |
| Subtype | Notice |
| Description | Notice ~ INABILITY TO COMPLETE ROA |
| On Behalf Of | Orange Cty Circuit Ct Clerk |
| Docket Date | 2019-10-11 |
| Type | Misc. Events |
| Subtype | Miscellaneous Trial Court Order |
| Description | ORD-From Circuit Court/Agency ~ LT ORDER- AMENDED SUMMARY FINAL JUDGMENT |
| Docket Date | 2019-10-11 |
| Type | Order |
| Subtype | Order |
| Description | ORD - Appeal to Proceed ~ FOR CONSIDERATION FOR MEDIATION |
| Docket Date | 2019-09-06 |
| Type | Order |
| Subtype | Abeyance Order |
| Description | ORD-Appeal held in abeyance ~ AA TO FILE STATUS RPT W/I 30 DYS |
| Docket Date | 2019-08-26 |
| Type | Response |
| Subtype | Response |
| Description | RESPONSE ~ PER 8/14 ORDER |
| On Behalf Of | MARKS STREET, LLC |
| Docket Date | 2019-08-14 |
| Type | Order |
| Subtype | Order |
| Description | Miscellaneous Order ~ AA ADVISE W/IN 10 DAYS- PENDING LT MOTIONS |
| Docket Date | 2019-08-13 |
| Type | Misc. Events |
| Subtype | Case Filing Fee Paid through Portal |
| Description | CASE FILING FEE PAID THROUGH PORTAL |
| On Behalf Of | MARKS STREET, LLC |
| Docket Date | 2019-07-24 |
| Type | Notice |
| Subtype | Notice of Appeal |
| Description | Notice of Appeal Filed ~ FILED BELOW 7/19/19 |
| On Behalf Of | MARKS STREET, LLC |
| Docket Date | 2019-07-24 |
| Type | Order |
| Subtype | Order on Filing Fee |
| Description | Order to pay filing fee - Civil appeal (300) |
| Docket Date | 2019-07-24 |
| Type | Letter |
| Subtype | Acknowledgment Letter |
| Description | Acknowledgement Letter 1 |
| Docket Date | 2019-07-24 |
| Type | Misc. Events |
| Subtype | Fee Status |
| Description | FP:Fee Paid Through Portal |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-06 |
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-05-19 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-22 |
| AMENDED ANNUAL REPORT | 2018-05-31 |
| ANNUAL REPORT | 2018-04-19 |
| AMENDED ANNUAL REPORT | 2017-05-03 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
