| Entity Name: | ANESTHESIA SIMPLIFIED, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 11 May 2005 (20 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | L05000046891 |
| FEI/EIN Number | 010834724 |
| Address: | 23540 SR 54, LUTZ, FL, 33559, US |
| Mail Address: | 12016 WANDSWORTH DR., TAMPA, FL, 33626, US |
| ZIP code: | 33559 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356397285 | 2006-05-25 | 2020-08-22 | PO BOX 919025, ORLANDO, FL, 328919025, US | 23540 STATE ROAD 54, LUTZ, FL, 335596753, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 352-867-8898 |
| Fax | 3527326282 |
Authorized person
| Name | DR. PAULA BELLINO |
| Role | PRESIDENT |
| Phone | 3528678898 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 97905 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BELLINO PAULA M | Agent | 12016 WANDSWORTH DR, TAMPA, FL, 33626 |
| Name | Role | Address |
|---|---|---|
| BELLINO PAULA M | Manager | 12016 WANDSWORTH DR., TAMPA, FL, 33626 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-04-18 | 23540 SR 54, LUTZ, FL 33559 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-03-12 |
| ANNUAL REPORT | 2006-04-18 |
| ANNUAL REPORT | 2006-03-03 |
| Florida Limited Liability | 2005-05-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
