0001687013-16-000001.txt : 20161007 0001687013-16-000001.hdr.sgml : 20161007 20161007150115 ACCESSION NUMBER: 0001687013-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161007 DATE AS OF CHANGE: 20161007 EFFECTIVENESS DATE: 20161007 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Heart of Florida Surgery Center, LLC CENTRAL INDEX KEY: 0001687013 IRS NUMBER: 812235296 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-272072 FILM NUMBER: 161927466 BUSINESS ADDRESS: STREET 1: 410 LIONEL WAY CITY: DAVENPORT STATE: FL ZIP: 33837 BUSINESS PHONE: 863-422-4971 MAIL ADDRESS: STREET 1: 410 LIONEL WAY CITY: DAVENPORT STATE: FL ZIP: 33837 D 1 primary_doc.xml X0707 D LIVE 0001687013 Heart of Florida Surgery Center, LLC 410 LIONEL WAY DAVENPORT FL FLORIDA 33837 863-422-4971 DELAWARE None None Limited Liability Company true 2016 Ann Barnhart 40100 Highway 27 Davenport FL FLORIDA 33837 Director Terry Bohlke 4000 Meridian Blvd. Franklin TN TENNESSEE 37067 Director Sean Rambo 9131 Anson Way, Suite 304 Raleigh NC NORTH CAROLINA 27615 Director Susan Kizirian 9131 Anson Way, Suite 304 Raleigh NC NORTH CAROLINA 27615 Director Other Health Care Decline to Disclose 06b false 2016-08-30 false true false 7200 734400 335000 399400 false 7 0 0 0 false Heart of Florida Surgery Center, LLC Ann Barnhart Ann Barnhart Chairman of the Board 2016-10-06