Provider Profile

ADVENTHEALTH SURGERY CENTER-LAKE MARY

Ambulatory Surgical Center

FACILITY PROFILE

Accredited by: Accreditation Association for Ambulatory Health Care
Street Address
  • 917 RINEHART RD SUITE 1001
    LAKE MARY, FL 32746
    County: Seminole
  • Phone: (407) 708-5383
Mailing Address
  • 917 RINEHART RD SUITE 1001
    LAKE MARY, FL 32746
    County: Seminole
  • Phone: (407) 708-5383
AHCA Reports
Inspection Reports
Inspection Details
Consumer Guides
A Patient's Guide to a Hospital Stay
Patient Safety
Health Care Advance Directives
Facility Information:
Facility/Provider Type:Ambulatory Surgical Center
Administrator:PATRICIA ANNE RUSTIN
Financial Officer:PATRICIA ANNE RUSTIN
Owner/Licensee:ALLIANCE SURGICAL CENTER, LLC
Owner/Licensee Since:5/7/2010

NamePositionOwnership
SCA-ALLIANCE, LLC60%
CENTRAL FLORIDA ASC HOLDING6%
JORGE DIAZ6%
JALICHA ENTERPRISES LLC5%
KALYANI GADDAPATI5%
LG MEDICAL MANAGEMENT LLC5%
AMY ZBARASCHUKBOARD MEMBER/OFFICER0%
CHASE JONESBOARD MEMBER/OFFICER0%
JAMES ANDREW SPARKSBOARD MEMBER/OFFICER0%
PATRICIA ANNE RUSTINBOARD MEMBER/OFFICER0%
PATTY SHOULTSBOARD MEMBER/OFFICER0%
Profit Status:For-Profit
Management Company:SCA HEALTH
Manager Since:9/16/2014

NamePositionOwnership
SCAI HOLDINGS, LLC100%
Licensed Beds:Not Available
Bed Types:Operating Rooms: 2
Recovery Beds: 14
AHCA Number (File Number):14960588
AHCA Field Office:07
License Number:1225
Current License Effective:1/30/2025
Current License Expires:1/29/2027
License Status:LICENSED
Services/Characteristics

Not Available

Legal Actions
Please note the legal actions above may have been issued to a prior owner. The Final Order displays the name of the licensee responsible for the legal action that was taken.
Date Initiated Case # Case Type Violation Fine Amount Date Imposed
3/5/20152015002190FineReporting$2,900.006/3/2015
Change of ownership occurred 11/1/2014
Change of ownership occurred 5/7/2010
2/3/20092009001136FineApplication$500.002/4/2009

Important information and facility/provider definitions can be found in the Glossary.

Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.