On January 11, 2022 a
Proof of Service
was filed
involving a dispute between
Surgery Center Viera Llc,
and
Ocala Gran Prix Inc,
Ocala Gran Prix Plan,
Unitedhealthcare Insurance Company,
for INSURANCE CLAIM
in the District Court of Brevard County.
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Filing # 142481626 E-Filed 01/24/2022 09:52:31 AM
RETURN OF SERVICE
State of Florida County of Brevard Circuit Court
Case Number: 05-2022-CA-011030-XXXX-XX
Plaintiff,:
SURGERY CENTER OF VIERA, LLC,
vs.
Defendant,:
UNITEDHEALTHCARE INSURANCE COMPANY, OCALA GRAN PRIX, INC., and
OCALA GRAN PRIX PLAN,
For:
Jeffrey L. Greyber, Esquire
Callagy Law, PC
1900 NW Corporate Blvd.
Suite 310W
Boca Raton, FL 33431
Received by Williams Process Service, Inc. on the 13th day of January, 2022 at 5:42 am to be served on Ocala Gran Prix
Plan c/o The Golden Firm, Registered Agent, 145 Sevilla Ave., Coral Gables, FL 33134
|, Warren Zorzi, do hereby affirm that on the 13th day of January, 2022 at 12:45 pm, I:
served a CORPORATION by delivering a true copy of the Summons, Case Management Plan, Case Management
Order and Complaint with Exhibits with the date and hour of service endorsed thereon by me, to: Marcos Cornillot as
Authorized to Accept/Legal Clerk for Ocala Gran Prix Plan, at the address of: 145 Sevilla Ave., Coral Gables, FL
33134, and informed said person of the contents therein, in compliance with state statutes.
Description of Person Served: Age: 45, Sex: M, Race/Skin Color: White, Height: 6'0", Weight: 180, Hair: Dark Brown,
Glasses: Y
Under penalties of perjury, | declare that | have read the foregoing and that the facts stated in it are true. | am over theage
of eighteen, have no interest in the above action and am a Certified Process Server in good standing in the circuit in which
service was effected in accordance with State Statutes.
/sf Warren Zorzi
Warren Zorzi
CPS # 885
Williams Process Service, Inc.
721 US Highway 1
Suite 121
North Palm Beach, FL 33408
(561) 881-1442
Our Job Serial Number: WPS-2022000741
Copyright © 1992-2022 Database Services, Inc. - Process Server's Toolbox V8.2b
rll UOC I ll ll SURGERY CENTER VS UNITEDHEALTH 05-2022-CA-011030-XXXX-XX
Document Filed Date
January 24, 2022
Case Filing Date
January 11, 2022
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Filing # 142481626 E-Filed 01/24/2022 09:52:31 AM RETURN OF SERVICE State of Florida County of Brevard Circuit Court Case Number: 05-2022-CA-011030-XXXX-XX Plaintiff,: SURGERY CENTER OF VIERA, LLC, vs. Defendant,: UNITEDHEALTHCARE INSURANCE COMPANY, OCALA GRAN PRIX, INC., and OCALA GRAN PRIX PLAN, For: Jeffrey L. Greyber, Esquire Callagy Law, PC 1900 NW Corporate Blvd. Suite 310W Boca Raton, FL 33431 Received by Williams Process Service, Inc. on the 13th day of January, 2022 at 5:42 am to be served on Ocala Gran Prix Plan c/o The Golden Firm, Registered Agent, 145 Sevilla Ave., Coral Gables, FL 33134 |, Warren Zorzi, do hereby affirm that on the 13th day of January, 2022 at 12:45 pm, I: served a CORPORATION by delivering a true copy of the Summons, Case Management Plan, Case Management Order and Complaint with Exhibits with the date and hour of service endorsed thereon by me, to: Marcos Cornillot as Authorized to Accept/Legal Clerk for Ocala Gran Prix Plan, at the address of: 145 Sevilla Ave., Coral Gables, FL 33134, and informed said person of the contents therein, in compliance with state statutes. Description of Person Served: Age: 45, Sex: M, Race/Skin Color: White, Height: 6'0", Weight: 180, Hair: Dark Brown, Glasses: Y Under penalties of perjury, | declare that | have read the foregoing and that the facts stated in it are true. | am over theage of eighteen, have no interest in the above action and am a Certified Process Server in good standing in the circuit in which service was effected in accordance with State Statutes. /sf Warren Zorzi Warren Zorzi CPS # 885 Williams Process Service, Inc. 721 US Highway 1 Suite 121 North Palm Beach, FL 33408 (561) 881-1442 Our Job Serial Number: WPS-2022000741 Copyright © 1992-2022 Database Services, Inc. - Process Server's Toolbox V8.2b rll UOC I ll ll SURGERY CENTER VS UNITEDHEALTH 05-2022-CA-011030-XXXX-XX