0001756856-20-000001.txt : 20200204
0001756856-20-000001.hdr.sgml : 20200204
20200204143350
ACCESSION NUMBER: 0001756856-20-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20200204
DATE AS OF CHANGE: 20200204
EFFECTIVENESS DATE: 20200204
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: First Coast Orthopedic Center, LLC
CENTRAL INDEX KEY: 0001756856
IRS NUMBER: 822929226
STATE OF INCORPORATION: FL
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-359728
FILM NUMBER: 20572911
BUSINESS ADDRESS:
STREET 1: 569 BROOKWOOD VILLAGE, SUITE 901
CITY: BIRMINGHAM
STATE: AL
ZIP: 35209
BUSINESS PHONE: 205-545-2734
MAIL ADDRESS:
STREET 1: 569 BROOKWOOD VILLAGE, SUITE 901
CITY: BIRMINGHAM
STATE: AL
ZIP: 35209
D
1
primary_doc.xml
X0708
D
LIVE
0001756856
First Coast Orthopedic Center, LLC
569 BROOKWOOD VILLAGE, SUITE 901
BIRMINGHAM
AL
ALABAMA
35209
205-545-2734
FLORIDA
None
None
Limited Liability Company
true
2017
David
Cutter
569 Brookwood Village, Suite 901
Birmingham
AL
ALABAMA
35209
Executive Officer
Director
Chris
Swanson, M.D.
4035 Southpoint Blvd.
Jacksonville
FL
FLORIDA
32216
Director
Andrew
Sparks
569 Brookwood Village, Suite 901
Birmingham
AL
ALABAMA
35209
Director
Gavan
Duffy, M.D.
4035 Southpoint Blvd.
Jacksonville
FL
FLORIDA
32216
Executive Officer
Director
Maximillian
Lincoln, M.D.
4035 Southpoint Blvd.
Jacksonville
FL
FLORIDA
32216
Director
Robert
K.
Hurford, Jr., M.D.
4035 Southpoint Blvd.
Jacksonville
FL
FLORIDA
32216
Executive Officer
Other Health Care
Decline to Disclose
- 06b
false
true
false
true
false
0
SCA Development, LLC
35451
None
None
569 Brookwood Village, Suite 901
Birmingham
AL
ALABAMA
35209
FL
FLORIDA
false
186550
0
186550
false
0
2500
true
0
0
false
First Coast Orthopedic Center, LLC
David Cutter
David Cutter
Vice President
2020-02-04