0001175074-23-000001.txt : 20230609 0001175074-23-000001.hdr.sgml : 20230609 20230609164144 ACCESSION NUMBER: 0001175074-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230609 DATE AS OF CHANGE: 20230609 EFFECTIVENESS DATE: 20230609 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: 021-483893 FILM NUMBER: 231005983 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 David Cutter 1800 Jenks Avenue Panama City FL FLORIDA 32405 Director Board Member Nick Lambert 1800 Jenks Avenue Panama City FL FLORIDA 32405 Director Board Member Christine Frederic 1800 Jenks Avenue Panama City FL FLORIDA 32405 Director Board Member Robin Goodwin 1800 Jenks Avenue Panama City FL FLORIDA 32405 Director Board Member Eric Berry, DMD 1800 Jenks Avenue Panama City FL FLORIDA 32405 Director Board Member Roger Spencer, MD 1800 Jenks Avenue Panama City FL FLORIDA 32405 Director Board Member Alex Jones, MD 1800 Jenks Avenue Panama City FL FLORIDA 32405 Director Board Member Other Health Care Decline to Disclose 06b false true false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 FL FLORIDA false 193000 0 193000 false 0 0 0 0 false Panama City Surgery Center, LLC /s/ Meagan O. Jones Meagan O. Jones Attorney for Issuer 2023-06-09