| Entity Name: | BAYCARE ANESTHESIA ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 22 Oct 2002 (22 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | L02000027895 |
| FEI/EIN Number | 010750405 |
| Mail Address: | P.O. BOX 1204, OLDSMAR, FL, 34677 |
| Address: | 12016 WANDSWORTH DRIVE, TAMPA, FL, 33626 |
| ZIP code: | 33626 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205887247 | 2006-05-15 | 2008-04-20 | PO BOX 550307, TAMPA, FL, 336550307, US | 7050 GALL BLVD, ZEPHYRHILLS, FL, 335411347, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 352-867-8898 |
| Fax | 3527326282 |
Authorized person
| Name | MRS. PAULA BELLINO |
| Role | PRESIDENT |
| Phone | 3528678898 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 34482 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | CK7480 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BELLINO PAULA M | Agent | 12016 WANDSWORTH DRIVE, TAMPA, FL, 33626 |
| Name | Role | Address |
|---|---|---|
| BELLINO PAULA M | Managing Member | 12016 WANDSWORTH DR., TAMPA, FL, 33626 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-01-19 | 12016 WANDSWORTH DRIVE, TAMPA, FL 33626 | No data |
| CHANGE OF MAILING ADDRESS | 2005-04-29 | 12016 WANDSWORTH DRIVE, TAMPA, FL 33626 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-06-08 |
| ANNUAL REPORT | 2009-01-19 |
| ANNUAL REPORT | 2008-01-24 |
| ANNUAL REPORT | 2007-01-19 |
| ANNUAL REPORT | 2006-01-23 |
| ANNUAL REPORT | 2005-04-29 |
| ANNUAL REPORT | 2004-04-16 |
| ANNUAL REPORT | 2003-03-24 |
| Florida Limited Liability | 2002-10-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
