Detail by Entity Name

Foreign Limited Liability Company

CLEARWAY SURGERY CENTER OF CRESTVIEW, LLC

Filing Information
M19000008239 84-2479344 08/23/2019 DE ACTIVE REINSTATEMENT 04/28/2021
Principal Address
180 E REDSTONE AVE STE A
Crestview, FL 32539

Changed: 04/09/2024
Mailing Address
201 DEFENSE HIGHWAY
STE 260
ANNAPOLIS, MD 21401

Changed: 04/09/2024
Registered Agent Name & Address CT CORPORATION SYSTEM
1200 SOUTH PINE ISLAND ROAD
PLANTATION, FL 33324

Name Changed: 04/28/2021
Authorized Person(s) Detail Name & Address

Title Member

Gulf Coast Pain Consultants, LLC
201 DEFENSE HIGHWAY
STE 205
ANNAPOLIS, MD 21401

Title Member

DiSanto, David, Dr
4825 Andrade Street
Pensacola, FL 32504

Title Member

Rimmalapudi, Varun, Dr
2667 Manor Cr
Gulf Breeze, FL 32563

Annual Reports
Report YearFiled Date
2023 02/25/2023
2024 02/09/2024
2024 04/09/2024