0002008030-24-000001.txt : 20240112 0002008030-24-000001.hdr.sgml : 20240112 20240112125952 ACCESSION NUMBER: 0002008030-24-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20240112 DATE AS OF CHANGE: 20240112 EFFECTIVENESS DATE: 20240112 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Jacksonville Ambulatory Surgery Center, LLC CENTRAL INDEX KEY: 0002008030 ORGANIZATION NAME: IRS NUMBER: 000000000 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-502300 FILM NUMBER: 24531402 BUSINESS ADDRESS: STREET 1: 569 BROOKWOOD VILLAGE, SUITE 901 CITY: BIRMINGHAM STATE: AL ZIP: 35203 BUSINESS PHONE: 2052665003 MAIL ADDRESS: STREET 1: 569 BROOKWOOD VILLAGE, SUITE 901 CITY: BIRMINGHAM STATE: AL ZIP: 35203 D 1 primary_doc.xml X0708 D LIVE 0002008030 Jacksonville Ambulatory Surgery Center, LLC 569 BROOKWOOD VILLAGE, SUITE 901 BIRMINGHAM AL ALABAMA 35203 2052665003 FLORIDA None None Limited Liability Company true 2023 Nick Lambert 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 Director Andrew Sparks 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 Director Paul Chappano, M.D. 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 Director Joseph Parks, M.D. 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 Director Cameron Adkisson, M.D. 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 Director Other Health Care Not Applicable 06b false 2023-12-06 false true false 0 SCA Development, LLC 35451 None None 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 FL FLORIDA false 3186000 141600 3044400 false 1 50000 true 0 0 false Jacksonville Ambulatory Surgery Center, LLC Nick Lambert Nick Lambert Director 2024-01-12