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FLORIDA AMBULATORY ANESTHESIA, LLC - Florida Company Profile

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Company Details

Entity Name: FLORIDA AMBULATORY ANESTHESIA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 02 Apr 2004 (21 years ago)
Date of dissolution: 28 Sep 2012 (13 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2012 (13 years ago)
Document Number: L04000025159
FEI/EIN Number 061721757
Mail Address: 15761 CEDAR GROVE LANE, WELLINGTON, FL, 33414
Address: 1395 STATE ROAD 7, SUITE 100, WELLINGTON, FL, 33414
ZIP code: 33414
City: Wellington
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SMITH RONALD N Managing Member 15761 CEDAR GROVE LANE, WELLINGTON, FL, 33414
BHARDWAJ NISHA M Managing Member 11104 GREEN BAYBERRY DRIVE, PALM BEACH GARDENS, FL, 33418
SMITH RONALD N Agent 15761 CEDAR GROVE LANE, WELLINGTON, FL, 33414

National Provider Identifier

NPI Number:
1275640328

Authorized Person:

Name:
RONALD N SMITH
Role:
MANAGING DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Fax:
5614220997

Form 5500 Series

Employer Identification Number (EIN):
061721757
Plan Year:
2011
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
4
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 - -
CHANGE OF PRINCIPAL ADDRESS 2005-02-14 1395 STATE ROAD 7, SUITE 100, WELLINGTON, FL 33414 -
REGISTERED AGENT NAME CHANGED 2005-02-14 SMITH, RONALD N -
REGISTERED AGENT ADDRESS CHANGED 2005-02-14 15761 CEDAR GROVE LANE, WELLINGTON, FL 33414 -
AMENDMENT 2004-12-21 - -

Documents

Name Date
ANNUAL REPORT 2011-04-04
ANNUAL REPORT 2010-01-21
ANNUAL REPORT 2009-02-09
ANNUAL REPORT 2008-01-21
ANNUAL REPORT 2007-01-25
ANNUAL REPORT 2006-02-25
ANNUAL REPORT 2005-02-14
Amendment 2004-12-21
Florida Limited Liabilites 2004-04-02

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Date of last update: 03 Aug 2025

Sources: Florida Department of State