Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Volusia
    4. ›
  4. 32117
    5. ›
  5. AMBULATORY ANESTHESIA PROVIDERS, LLC

AMBULATORY ANESTHESIA PROVIDERS, LLC - Florida Company Profile

Company Details

Entity Name: AMBULATORY ANESTHESIA PROVIDERS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

AMBULATORY ANESTHESIA PROVIDERS, LLC 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: 11 Aug 2004 (21 years ago)
Date of dissolution: 10 Jan 2018 (7 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 10 Jan 2018 (7 years ago)
Document Number: L04000060432
FEI/EIN Number 550841264

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1890 LPGA BLVD., SUITE 210, DAYTONA BEACH, FL, 32117
Mail Address: 1890 LPGA BLVD., SUITE 210, DAYTONA BEACH, FL, 32117
ZIP code: 32117
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508884446 2006-07-18 2010-06-01 1890 LPGA BLVD, SUITE 210, DAYTONA BEACH, FL, 321177130, US 1890 LPGA BLVD, SUITE 210, DAYTONA BEACH, FL, 321177130, US

Contacts
Phone +1 386-274-1744
Fax 3862741644

Authorized person
Name RITA BERON
Role OFFICE MGR
Phone 3862741744

Taxonomy
Taxonomy Code 174400000X - Specialist
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMBULATORY ANESTHESIA PROVIDERS, LLC 401(K) PLAN 2016 550841264 2017-05-19 AMBULATORY ANESTHESIA PROVIDERS, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-08-01
Business code 621111
Sponsor’s telephone number 3862741744
Plan sponsor’s address 1890 LPGA BLVD STE 210, DAYTONA BEACH, FL, 321177138

Signature of
Role Plan administrator
Date 2017-05-19
Name of individual signing ANNE DUNHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-19
Name of individual signing ANNE DUNHAM
Valid signature Filed with authorized/valid electronic signature
AMBULATORY ANESTHESIA PROVIDERS, LLC 401(K) PLAN 2015 550841264 2016-05-05 AMBULATORY ANESTHESIA PROVIDERS, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-08-01
Business code 621111
Sponsor’s telephone number 3862741744
Plan sponsor’s address 1890 LPGA BLVD STE 210, DAYTONA BEACH, FL, 321177138

Signature of
Role Plan administrator
Date 2016-05-05
Name of individual signing ANNE DUNHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-05
Name of individual signing ANNE DUNHAM
Valid signature Filed with authorized/valid electronic signature
AMBULATORY ANESTHESIA PROVIDERS, LLC 401(K) PLAN 2014 550841264 2015-04-08 AMBULATORY ANESTHESIA PROVIDERS, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-08-01
Business code 621111
Sponsor’s telephone number 3862741744
Plan sponsor’s address 1890 LPGA BLVD STE 210, DAYTONA BEACH, FL, 321177138

Signature of
Role Plan administrator
Date 2015-04-08
Name of individual signing ANNE DUNHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-08
Name of individual signing ANNE DUNHAM
Valid signature Filed with authorized/valid electronic signature
AMBULATORY ANESTHESIA PROVIDERS, LLC 401(K) PLAN 2013 550841264 2014-05-12 AMBULATORY ANESTHESIA PROVIDERS, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-08-01
Business code 621111
Sponsor’s telephone number 3862741744
Plan sponsor’s address 1890 LPGA BLVD STE 210, DAYTONA BEACH, FL, 321177138

Signature of
Role Plan administrator
Date 2014-05-12
Name of individual signing AMBULATORY ANESTHESIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-12
Name of individual signing AMBULATORY ANESTHESIA
Valid signature Filed with authorized/valid electronic signature
AMBULATORY ANESTHESIA PROVIDERS, LLC 401(K) PLAN 2012 550841264 2014-02-21 AMBULATORY ANESTHESIA PROVIDERS, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-08-01
Business code 621111
Sponsor’s telephone number 3862741744
Plan sponsor’s address 1890 LPGA BLVD STE 210, DAYTONA BEACH, FL, 321177138

Signature of
Role Plan administrator
Date 2014-02-21
Name of individual signing ANNE DUNHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-02-21
Name of individual signing ANNE DUNHAM
Valid signature Filed with authorized/valid electronic signature
AMBULATORY ANESTHESIA PROVIDERS, LLC 401(K) PLAN 2011 550841264 2012-10-05 AMBULATORY ANESTHESIA PROVIDERS, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-08-01
Business code 621111
Sponsor’s telephone number 3862741744
Plan sponsor’s address 1890 LPGA BLVD STE 210, DAYTONA BEACH, FL, 321177138

Plan administrator’s name and address
Administrator’s EIN 550841264
Plan administrator’s name AMBULATORY ANESTHESIA PROVIDERS, LLC
Plan administrator’s address 1890 LPGA BLVD STE 210, DAYTONA BEACH, FL, 321177138
Administrator’s telephone number 3862741744

Signature of
Role Plan administrator
Date 2012-10-05
Name of individual signing DIANE LAPHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-05
Name of individual signing DIANE LAPHAM
Valid signature Filed with authorized/valid electronic signature
AMBULATORY ANESTHESIA PROVIDERS, LLC 401(K) PLAN 2010 550841264 2011-07-25 AMBULATORY ANESTHESIA PROVIDERS, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-08-01
Business code 621111
Sponsor’s telephone number 3862741744
Plan sponsor’s address 1890 LPGA BLVD STE 210, DAYTONA BEACH, FL, 321177138

Plan administrator’s name and address
Administrator’s EIN 550841264
Plan administrator’s name AMBULATORY ANESTHESIA PROVIDERS, LLC
Plan administrator’s address 1890 LPGA BLVD STE 210, DAYTONA BEACH, FL, 321177138
Administrator’s telephone number 3862741744

Signature of
Role Plan administrator
Date 2011-07-25
Name of individual signing ANNE DUNHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-25
Name of individual signing ANNE DUNHAM
Valid signature Filed with authorized/valid electronic signature
AMBULATORY ANESTHESIA PROVIDERS LLC 401K PLAN 2009 550841264 2010-06-23 AMBULATORY ANESTHESIA PROVIDERS LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-08-01
Business code 621111
Sponsor’s telephone number 3862741744
Plan sponsor’s address 1890 LPGA BLVD STE 210, DAYTONA BEACH, FL, 321177138

Plan administrator’s name and address
Administrator’s EIN 550841264
Plan administrator’s name AMBULATORY ANESTHESIA PROVIDERS LLC
Plan administrator’s address 1890 LPGA BLVD STE 210, DAYTONA BEACH, FL, 321177138
Administrator’s telephone number 3862741744

Signature of
Role Plan administrator
Date 2010-06-23
Name of individual signing ANNE DUNHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-23
Name of individual signing ANNE DUNHAM
Valid signature Filed with authorized/valid electronic signature
AMBULATORY ANESTHESIA PROVIDERS LLC 401K PLAN 2009 550841264 2010-06-04 AMBULATORY ANESTHESIA PROVIDERS LLC 12
Three-digit plan number (PN) 001
Effective date of plan 2004-08-01
Business code 621111
Sponsor’s telephone number 3862741744
Plan sponsor’s address 1890 LPGA BLVD STE 210, DAYTONA BEACH, FL, 321177138

Plan administrator’s name and address
Administrator’s EIN 550841264
Plan administrator’s name AMBULATORY ANESTHESIA PROVIDERS LLC
Plan administrator’s address 1890 LPGA BLVD STE 210, DAYTONA BEACH, FL, 321177138
Administrator’s telephone number 3862741744

Key Officers & Management

Name Role Address
LAPHAM DIANE F Managing Member 1890 LPGA BLVD., SUITE 210, DAYTONA BEACH, FL, 32117
LAPHAM DIANE F Agent 1890 LPGA BLVD., SUITE 210, DAYTONA BEACH, FL, 32117

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2018-01-10 - -
AMENDMENT 2004-08-19 - -
CHANGE OF PRINCIPAL ADDRESS 2004-08-19 1890 LPGA BLVD., SUITE 210, DAYTONA BEACH, FL 32117 -
CHANGE OF MAILING ADDRESS 2004-08-19 1890 LPGA BLVD., SUITE 210, DAYTONA BEACH, FL 32117 -
REGISTERED AGENT ADDRESS CHANGED 2004-08-19 1890 LPGA BLVD., SUITE 210, DAYTONA BEACH, FL 32117 -

Documents

Name Date
ANNUAL REPORT 2017-03-16
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-01-08
ANNUAL REPORT 2014-01-27
ANNUAL REPORT 2013-04-24
ANNUAL REPORT 2012-02-09
ANNUAL REPORT 2011-01-04
ANNUAL REPORT 2010-01-05
ANNUAL REPORT 2009-01-15
ANNUAL REPORT 2008-07-15

Companies related by officers

LAPHAM DIANE F

AVA & RUFUS, LLC - Inactive
Foreign Limited Liability Co. (2006 - 2012)

Companies related by address

No other companies in our directory share the same address as AMBULATORY ANESTHESIA PROVIDERS, LLC

Date of last update: 01 Apr 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated