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
Changed: 04/09/2024
180 E REDSTONE AVE STE A
Crestview, FL 32539
Crestview, FL 32539
Changed: 04/09/2024
Mailing Address
Changed: 04/09/2024
201 DEFENSE HIGHWAY
STE 260
ANNAPOLIS, MD 21401
STE 260
ANNAPOLIS, MD 21401
Changed: 04/09/2024
Registered Agent Name & Address
CT CORPORATION SYSTEM
Name Changed: 04/28/2021
1200 SOUTH PINE ISLAND ROAD
PLANTATION, FL 33324
PLANTATION, FL 33324
Name Changed: 04/28/2021
Authorized Person(s) Detail
Name & Address
Title Member
Gulf Coast Pain Consultants, LLC
Title Member
DiSanto, David, Dr
Title Member
Rimmalapudi, Varun, Dr
Title Member
Gulf Coast Pain Consultants, LLC
201 DEFENSE HIGHWAY
STE 205
ANNAPOLIS, MD 21401
STE 205
ANNAPOLIS, MD 21401
Title Member
DiSanto, David, Dr
4825 Andrade Street
Pensacola, FL 32504
Pensacola, FL 32504
Title Member
Rimmalapudi, Varun, Dr
2667 Manor Cr
Gulf Breeze, FL 32563
Gulf Breeze, FL 32563
Annual Reports
Report Year | Filed Date |
2023 | 02/25/2023 |
2024 | 02/09/2024 |
2024 | 04/09/2024 |
Document Images