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  5. HEARTLAND QUALITY ANESTHESIA PROFESSIONALS, LLC

HEARTLAND QUALITY ANESTHESIA PROFESSIONALS, LLC

Company Details

Entity Name: HEARTLAND QUALITY ANESTHESIA PROFESSIONALS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 11 Jan 2002 (23 years ago)
Date of dissolution: 27 Sep 2019 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (5 years ago)
Document Number: L02000000916
FEI/EIN Number 010572155
Address: Heartland Quality Anesthesia, 434 Palm Crest Lane, Lake Mary, FL, 32746, US
Mail Address: Heartland Quality Anesthesia, 434 Palm Crest Lane, Lake Mary, FL, 32746, US
ZIP code: 32746
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447246707 2005-09-22 2013-10-21 4519 GEORGE RD, STE. 100, TAMPA, FL, 336347329, US 4200 SUN N LAKE BLVD, SEBRING, FL, 338719400, US

Contacts
Phone +1 813-496-1075
Phone +1 863-314-4466

Authorized person
Name NANCY HIGH
Role PRESIDENT
Phone 8633144466

Taxonomy
Taxonomy Code 207L00000X - Anesthesiology Physician
License Number ME64529
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEARTLAND QUALITY ANESTHESIA PROFESSIONALS, LLC RETIREMENT PLAN 2019 010572155 2020-05-13 HEARTLAND QUALITY ANESTHESIA PROFESSIONALS, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-11
Business code 621111
Sponsor’s telephone number 8633818307
Plan sponsor’s address 434 PALM CREST LANE, LAKE MARY, FL, 32746

Signature of
Role Plan administrator
Date 2020-05-13
Name of individual signing NANCY W HIGH
Valid signature Filed with authorized/valid electronic signature
HEARTLAND QUALITY ANESTHESIA PROFESSIONAL, LLC RETIREMENT PLAN 2018 010572155 2019-10-07 HEARTLAND QUALITY ANESTHESIA PROFESSIONALS, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-11
Business code 621111
Sponsor’s telephone number 8633818307
Plan sponsor’s address 434 PALM CREST LANE, LAKE MARY, FL, 32746
HEARTLAND QUALITY ANESTHESIA PROFESSIONAL, LLC RETIREMENT PLAN 2017 010572155 2018-10-15 HEARTLAND QUALITY ANESTHESIA PROFESSIONALS, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-11
Business code 621111
Sponsor’s telephone number 8633818307
Plan sponsor’s address 434 PALM CREST LANE, LAKE MARY, FL, 32746
HEARTLAND QUALITY ANESTHESIA PROFESSIONAL, LLC RETIREMENT PLAN 2016 010572155 2018-01-29 HEARTLAND QUALITY ANESTHESIA PROFESSIONALS, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-11
Business code 621111
Sponsor’s telephone number 8633818307
Plan sponsor’s address 434 PALM CREST LANE, LAKE MARY, FL, 32746
HEARTLAND QUALITY ANESTHESIA PROFESSIONAL, LLC RETIREMENT PLAN 2016 010572155 2018-01-29 HEARTLAND QUALITY ANESTHESIA PROFESSIONALS, LLC 18
Three-digit plan number (PN) 001
Effective date of plan 2002-01-11
Business code 621111
Sponsor’s telephone number 8633818307
Plan sponsor’s address 434 PALM CREST LANE, LAKE MARY, FL, 32746
HEARTLAND QUALITY ANESTHESIA PROFESSIONAL, LLC RETIREMENT PLAN 2015 010572155 2016-10-17 HEARTLAND QUALITY ANESTHESIA PROFESSIONALS, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-11
Business code 621111
Sponsor’s telephone number 8633818307
Plan sponsor’s address 434 PALM CREST LANE, LAKE MARY, FL, 32746

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing STEPHEN EVERS
Valid signature Filed with authorized/valid electronic signature
HEARTLAND QUALITY ANESTHESIA PROFESSIONAL, LLC RETIREMENT PLAN 2014 010572155 2015-10-13 HEARTLAND QUALITY ANESTHESIA PROFESSIONALS, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-11
Business code 621111
Sponsor’s telephone number 8634025357
Plan sponsor’s address 1390 LAKE JOSEPHINE DRIVE, SEBRING, FL, 338756410

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing NANCY W. HIGH
Valid signature Filed with authorized/valid electronic signature
HEARTLAND QUALITY ANESTHESIA PROFESSIONALS LLC RETIREMENT PLAN 2013 010572155 2014-10-10 HEARTLAND QUALITY ANESTHESIA PROFESSIONALS, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-11
Business code 621111
Sponsor’s telephone number 8634025357
Plan sponsor’s address 1390 LAKE JOSEPHINE DRIVE, SEBRING, FL, 338756410

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing NANCY W. HIGH
Valid signature Filed with authorized/valid electronic signature
HEARTLAND QUALITY ANESTHESIA PROFESSIONALS LLC RETIREMENT PLAN 2012 010572155 2013-10-12 HEARTLAND QUALITY ANESTHESIA PROFESSIONALS, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-11
Business code 621111
Sponsor’s telephone number 8634025357
Plan sponsor’s address 1390 LAKE JOSEPHINE DRIVE, SEBRING, FL, 338756410

Signature of
Role Plan administrator
Date 2013-10-12
Name of individual signing NANCY W. HIGH
Valid signature Filed with authorized/valid electronic signature
HEARTLAND QUALITY ANESTHESIA PROFESSIONALS LLC RETIREMENT PLAN 2011 010572155 2012-09-28 HEARTLAND QUALITY ANESTHESIA PROFESSIONALS, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-11
Business code 621111
Sponsor’s telephone number 8634025357
Plan sponsor’s address 1390 LAKE JOSEPHINE DRIVE, SEBRING, FL, 338756410

Plan administrator’s name and address
Administrator’s EIN 010572155
Plan administrator’s name HEARTLAND QUALITY ANESTHESIA PROFESSIONALS, LLC
Plan administrator’s address 1390 LAKE JOSEPHINE DRIVE, SEBRING, FL, 338756410
Administrator’s telephone number 8634025357

Signature of
Role Plan administrator
Date 2012-09-28
Name of individual signing NANCY W. HIGH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HIGH NANCY W Agent Heartland Quality Anesthesia, Lake Mary, FL, 32746

Managing Member

Name Role Address
HIGH NANCY W Managing Member 434 Palm Crest Lane, Lake Mary, FL, 327467104

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2018-01-15 Heartland Quality Anesthesia, 434 Palm Crest Lane, Lake Mary, FL 32746 No data
CHANGE OF MAILING ADDRESS 2018-01-15 Heartland Quality Anesthesia, 434 Palm Crest Lane, Lake Mary, FL 32746 No data
REGISTERED AGENT ADDRESS CHANGED 2018-01-15 Heartland Quality Anesthesia, 434 Palm Crest Lane, Lake Mary, FL 32746 No data
REGISTERED AGENT NAME CHANGED 2010-02-08 HIGH, NANCY WM.D. No data

Documents

Name Date
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-03-07
ANNUAL REPORT 2016-04-06
ANNUAL REPORT 2015-03-10
ANNUAL REPORT 2014-04-24
ANNUAL REPORT 2013-04-09
ANNUAL REPORT 2012-03-14
ANNUAL REPORT 2011-02-05
Reg. Agent Change 2010-02-08
ANNUAL REPORT 2010-01-05

Related by officers

HIGH NANCY W

HIGH COUNTRY ACRES HOMEOWNER'S ASSOCIATION, INC. HEARTLAND QUALITY PAIN MEDICINE PROFESSIONALS, INC. GEMSTONE ACRES HOMEOWNER'S ASSOCIATION, INC. A & K ANESTHESIA CONSULTING AND MANAGEMENT, LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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