| Entity Name: | THE ANESTHESIA GROUP, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 16 Nov 1981 (43 years ago) |
| Document Number: | F53816 |
| FEI/EIN Number | 592166388 |
| Address: | 4901 Grande Drive, PENSACOLA, FL, 32504, US |
| Mail Address: | PO BOX 30423, PENSACOLA, FL, 32503, US |
| ZIP code: | 32504 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871532226 | 2006-06-04 | 2013-04-25 | PO BOX 30423, PENSACOLA, FL, 325031423, US | 4901 GRANDE DRIVE, PENSACOLA, FL, 32504, US | |||||||||||||||||||||
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| Phone | +1 850-471-0707 |
| Fax | 8504787377 |
Authorized person
| Name | DR. JAMES H. NALLEY |
| Role | PRESIDENT |
| Phone | 8504710707 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 062745300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NALLEY, JAMES H. | Agent | 4901 GRANDE DRIVE, PENSACOLA, FL, 32503 |
| Name | Role | Address |
|---|---|---|
| NALLEY JAMES HDr. | President | 4901 GRANDE DRIVE, PENSACOLA, FL, 32504 |
| Name | Role | Address |
|---|---|---|
| FINLEY GAVIN WDR. | Secretary | 4901 Grande Drive, PENSACOLA, FL, 32504 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2002-04-04 | THE ANESTHESIA GROUP, P.A. | No data |
| AMENDMENT | 1996-10-04 | No data | No data |
| AMENDMENT | 1991-02-22 | No data | No data |
| AMENDMENT | 1984-01-12 | No data | No data |
| NAME CHANGE AMENDMENT | 1982-01-27 | SHAO, GINCAUSKAS, BENTZ & NALLEY, M.D.'S, P.A. | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
