Detail by Entity Name

Florida Limited Liability Company

SUMMERPORT SURGERY CENTER, LLC

Filing Information
L17000236425 37-1877771 11/15/2017 FL ACTIVE
Principal Address
5151 Winter Garden Vineland Rd., Suite 108
Windermere, FL 34786

Changed: 03/23/2023
Mailing Address
102 W. Pineloch Ave.
Suite 23
Orlando, FL 32806

Changed: 02/08/2024
Registered Agent Name & Address Zika, Ryan
207 W Gore St., Suite 201
ORLANDO, FL 32806

Name Changed: 03/26/2021

Address Changed: 03/16/2022
Authorized Person(s) Detail Name & Address

Title Authorized Representative

Mastali MD, Reza
1414 KUHL AVE
ORLANDO, FL 32806

Title Authorized Representative

Ramirez MD, Hector
1414 KUHL AVE
ORLANDO, FL 32806

Title Authorized Representative

Edwards MD, Troy
1414 KUHL AVE
ORLANDO, FL 32806

Title Authorized Representative

Koovakada, Philip
1414 KUHL AVE
MP2
ORLANDO, FL 32806

Title Authorized Representative

Rosenbaum, Vic
1414 KUHL AVE
MP2
ORLANDO, FL 32806

Title Authorized Representative

Nichols, Cindy
1414 KUHL AVE
MP2
ORLANDO, FL 32806

Title Manager

OH Ambulatory Services Management, LLC
1414 KUHL AVE
MP2
ORLANDO, FL 32806

Annual Reports
Report YearFiled Date
2022 03/16/2022
2023 03/23/2023
2024 02/08/2024