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BOCA ANESTHESIA SERVICE, INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Central Index Key

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

Filings since 2016-12-13

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
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Filings since 2015-01-12

Form type EFFECT
File number 333-201255-74
Filing date 2015-01-12
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Filings since 2014-12-24

Form type S-4
File number 333-201255-74
Filing date 2014-12-24
File View File

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

President

Name Role Address
Howe Henry President 20 Burton Hills Blvd, NASHVILLE, TN, 37215

Treasurer

Name Role Address
Cross William Treasurer 20 Burton Hills Blvd, NASHVILLE, TN, 37215

Secretary

Name Role Address
Marcus Jillian Secretary 20 Burton Hills Blvd, NASHVILLE, TN, 37215

Vice President

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