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LAKEWOOD RANCH ANESTHESIA, PL - Florida Company Profile

Company Details

Entity Name: LAKEWOOD RANCH ANESTHESIA, PL
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

LAKEWOOD RANCH ANESTHESIA, PL is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 09 Apr 2003 (22 years ago)
Date of dissolution: 07 Jan 2025 (2 months ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 07 Jan 2025 (2 months ago)
Document Number: L03000012832
FEI/EIN Number 743088660

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 206 SECOND STREET EAST, BRADENTON, FL, 34208, US
Mail Address: 206 SECOND STREET EAST, BRADENTON, FL, 34208, US
ZIP code: 34208
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932157989 2006-05-04 2021-02-26 PO BOX 863295, ORLANDO, FL, 328863295, US 8330 LAKEWOOD RANCH BLVD, LAKEWOOD RANCH, FL, 342025174, US

Contacts

Phone +1 941-746-5111

Authorized person

Name DR. MARK ROSENTHAL
Role PARTNER
Phone 9417456829

Taxonomy

Taxonomy Code 207L00000X - Anesthesiology Physician
Is Primary Yes
Taxonomy Code 367500000X - Certified Registered Nurse Anesthetist
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 267152202
State FL
Issuer MEDICAID
Number 267152200
State FL
Issuer MEDICAID
Number 267152201
State FL

Key Officers & Management

Name Role Address
BLALOCK WALTERS, P.A. Agent -
VILASI JOHN V Manager 206 SECOND STREET EAST, BRADENTON, FL, 34208
VILASI JOSEPH A Manager 206 SECOND STREET EAST, BRADENTON, FL, 34208
ROSENTHAL MARK L Manager 206 SECOND STREET EAST, BRADENTON, FL, 34208
SEVERS BARRY L Manager 206 SECOND STREET EAST, BRADENTON, FL, 34208

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2025-01-07 - -
REGISTERED AGENT NAME CHANGED 2020-01-15 Blalock Walters, P.A. -
REGISTERED AGENT ADDRESS CHANGED 2020-01-15 802 11th Street West, BRADENTON, FL 34205 -

Documents

Name Date
VOLUNTARY DISSOLUTION 2025-01-07
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-09
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-22

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7787517304 2020-04-30 0455 PPP 206 2ND ST E, BRADENTON, FL, 34208
Loan Status Date 2022-11-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 39900
Loan Approval Amount (current) 39900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 4426
Servicing Lender Name Bank OZK
Servicing Lender Address 18000 Cantrell Rd, LITTLE ROCK, AR, 72223-9729
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address BRADENTON, MANATEE, FL, 34208-0500
Project Congressional District FL-16
Number of Employees 2
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 4426
Originating Lender Name Bank OZK
Originating Lender Address LITTLE ROCK, AR
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 40851.04
Forgiveness Paid Date 2022-09-22

Date of last update: 01 Mar 2025

Sources: Florida Department of State