Entity Name: | BOCA ANESTHESIA SERVICE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 23 Jun 1989 (36 years ago) |
Document Number: | K97794 |
FEI/EIN Number | 650126861 |
Address: | 20 Burton Hills Blvd, Suite 500, NASHVILLE, TN, 37215, US |
Mail Address: | 20 Burton Hills Blvd, Suite 500, NASHVILLE, TN, 37215, US |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1710550223 | 2021-07-22 | 2023-05-23 | PO BOX 744159, ATLANTA, GA, 303744159, US | 1905 CLINT MOORE RD STE 115, BOCA RATON, FL, 334962659, US | |||||||||||||||||
|
Phone | +1 877-328-1119 |
Authorized person
Name | KAREN VAUGHN |
Role | OFFICER |
Phone | 4044504684 |
Taxonomy
Taxonomy Code | 207L00000X - Anesthesiology Physician |
Is Primary | Yes |
Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
Is Primary | No |
CIK number | Mailing Address | Business Address | Phone | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1624308 | 20 BURTON HILLS BLVD., 5TH FLOOR, NASHVILLE, TN, 37215 | 20 BURTON HILLS BLVD., 5TH FLOOR, NASHVILLE, TN, 37215 | 615-665-1283 | |||||||||||||||||||||||||||||||||
|
Form type | 15-15D |
File number | 333-201255-74 |
Filing date | 2016-12-13 |
File | View File |
Filings since 2015-01-16
Form type | 424B3 |
File number | 333-201255-74 |
Filing date | 2015-01-16 |
File | View File |
Filings since 2015-01-12
Form type | EFFECT |
File number | 333-201255-74 |
Filing date | 2015-01-12 |
File | View File |
Filings since 2014-12-24
Form type | S-4 |
File number | 333-201255-74 |
Filing date | 2014-12-24 |
File | View File |
Name | Role |
---|---|
CORPORATION SERVICE COMPANY | Agent |
Name | Role | Address |
---|---|---|
Howe Henry | President | 20 Burton Hills Blvd, NASHVILLE, TN, 37215 |
Name | Role | Address |
---|---|---|
Cross William | Treasurer | 20 Burton Hills Blvd, NASHVILLE, TN, 37215 |
Name | Role | Address |
---|---|---|
Marcus Jillian | Secretary | 20 Burton Hills Blvd, NASHVILLE, TN, 37215 |
Name | Role | Address |
---|---|---|
Musso Matthew | Vice President | 20 Burton Hills Blvd, NASHVILLE, TN, 37215 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State