0001175074-20-000004.txt : 20201228 0001175074-20-000004.hdr.sgml : 20201228 20201228115236 ACCESSION NUMBER: 0001175074-20-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20201228 DATE AS OF CHANGE: 20201228 EFFECTIVENESS DATE: 20201228 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Panama City Surgery Center, LLC CENTRAL INDEX KEY: 0001175074 IRS NUMBER: 481255983 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-384385 FILM NUMBER: 201416400 BUSINESS ADDRESS: STREET 1: 1800 JENKS AVENUE CITY: PANAMA CITY STATE: FL ZIP: 32405 BUSINESS PHONE: 850-769-3191 MAIL ADDRESS: STREET 1: 1800 JENKS AVENUE CITY: PANAMA CITY STATE: FL ZIP: 32405 FORMER COMPANY: FORMER CONFORMED NAME: PANAMA CITY SURGERY CENTER LLC DATE OF NAME CHANGE: 20020610 D 1 primary_doc.xml X0708 D LIVE 0001175074 Panama City Surgery Center, LLC 1800 JENKS AVENUE PANAMA CITY FL FLORIDA 32405 850-769-3191 FLORIDA PANAMA CITY SURGERY CENTER LLC Limited Liability Company true Coy Wells 1800 Jenks Avenue Panama City FL FLORIDA 32405 Director Jason Pugh 1800 Jenks Avenue Panama City FL FLORIDA 32405 Director Nathan Smith 1800 Jenks Avenue Panama City FL FLORIDA 32405 Director Winborne Macphail 1800 Jenks Avenue Panama City FL FLORIDA 32405 Director Alex Jones 1800 Jenks Avenue Panama City FL FLORIDA 32405 Director Corey Gaiser 1800 Jenks Avenue Panama City FL FLORIDA 32405 Director Roger Spencer 1800 Jenks Avenue Panama City FL FLORIDA 32405 Director Other Health Care Decline to Disclose 06b false 2020-11-25 false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 FL FLORIDA false 84948 13113 71835 false 1 0 0 0 false Panama City Surgery Center, LLC /s/ Nathan Simpson Nathan Simpson Attorney for Issuer 2020-12-28