| Entity Name: | PANHANDLE ANESTHESIOLOGISTS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 16 May 1985 (40 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 14 Jun 1988 (37 years ago) |
| Document Number: | H57456 |
| FEI/EIN Number | 59-2539772 |
| Address: | PANHANDLE ANESTHESIOLOGISTS, INC, 1000 W 11th Street, PANAMA CITY, FL 32401 |
| Mail Address: | PANHANDLE ANESTHESIOLOGISTS, INC, 1000 W 11th Street, PANAMA CITY, FL 32401 |
| ZIP code: | 32401 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083630032 | 2006-07-14 | 2020-08-22 | 801 E 6TH ST, SUITE 205, PANAMA CITY, FL, 324013661, US | 801 E 6TH ST, SUITE 205, PANAMA CITY, FL, 324013661, US | |||||||||||||||||||||
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| Phone | +1 850-785-3185 |
| Fax | 8507856233 |
Authorized person
| Name | DR. BRIAN KEITH KRADEL |
| Role | PRESIDENT |
| Phone | 8507853185 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC/BS OF FLORIDA NUMBER |
| Number | 97088 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| William, Simmons, DR | Agent | PANHANDLE ANESTHESIOLOGISTS, INC, 1000 W 11th Street, PANAMA CITY, FL 32401 |
| Name | Role | Address |
|---|---|---|
| SIMMONS, WILLIAM, Dr. | President | PANHANDLE ANESTHESIOLOGISTS, INC, 1000 W 11th Street PANAMA CITY, FL 32401 |
| Name | Role | Address |
|---|---|---|
| Levine, Ross S, Dr. | Vice President | PANHANDLE ANESTHESIOLOGISTS, INC, 1000 W 11th Street PANAMA CITY, FL 32401 |
| Name | Role | Address |
|---|---|---|
| spencer, roger, Dr. | Officer | PANHANDLE ANESTHESIOLOGISTS, INC, 1000 W 11th Street PANAMA CITY, FL 32401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-05 | William, Simmons, DR | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-08 | PANHANDLE ANESTHESIOLOGISTS, INC, 1000 W 11th Street, PANAMA CITY, FL 32401 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-08 | PANHANDLE ANESTHESIOLOGISTS, INC, 1000 W 11th Street, PANAMA CITY, FL 32401 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-08 | PANHANDLE ANESTHESIOLOGISTS, INC, 1000 W 11th Street, PANAMA CITY, FL 32401 | No data |
| AMENDMENT | 1988-06-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-02-10 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-01-26 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-02-16 |
| ANNUAL REPORT | 2017-02-08 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-01-19 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
