| Entity Name: | COLUMBIA ANESTHESIA SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 27 Jan 2004 (21 years ago) |
| Date of dissolution: | 14 Mar 2011 (14 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 14 Mar 2011 (14 years ago) |
| Document Number: | L04000007302 |
| FEI/EIN Number | 200721098 |
| Address: | 2914 N. BOULEVARD, TAMPA, FL, 33602 |
| Mail Address: | 2914 N. BOULEVARD, TAMPA, FL, 33602 |
| ZIP code: | 33602 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053485698 | 2006-11-17 | 2008-01-30 | 2914 N BOULEVARD, TAMPA, FL, 336021208, US | 2914 N BOULEVARD, TAMPA, FL, 336021208, US | |||||||||||||||
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| Phone | +1 813-865-4777 |
| Fax | 8132280677 |
Authorized person
| Name | DR. ROBERTO V DOMINGUEZ |
| Role | PRESIDENT |
| Phone | 8138654777 |
Taxonomy
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DOMINGUEZ ROBERTO V | Agent | 2914 N. BOULEVARD, TAMPA, FL, 33602 |
| Name | Role | Address |
|---|---|---|
| DOMINGUEZ ROBERTO V | Managing Member | 2914 N. BOULEVARD, TAMPA, FL, 33602 |
| Name | Role | Address |
|---|---|---|
| BATAS VENERANDO I | Manager | 2914 N. BOULEVARD, TAMPA, FL, 33602 |
| KORNBERG PAUL B | Manager | 2914 N. BOULEVARD, TAMPA, FL, 33602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2011-03-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2006-03-02 | DOMINGUEZ, ROBERTO VMD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-01-31 | 2914 N. BOULEVARD, TAMPA, FL 33602 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2011-03-14 |
| ANNUAL REPORT | 2010-03-30 |
| ANNUAL REPORT | 2009-04-15 |
| ANNUAL REPORT | 2008-03-07 |
| ANNUAL REPORT | 2007-03-20 |
| ANNUAL REPORT | 2006-03-02 |
| ANNUAL REPORT | 2005-01-31 |
| Florida Limited Liabilites | 2004-01-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
