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ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC - Florida Company Profile

Company Details

Entity Name: ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, 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: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 02 Mar 2007 (18 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 11 Feb 2020 (5 years ago)
Document Number: L07000023441
FEI/EIN Number 208588338

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

Address: 2400 DUNDEE ROAD, WINTER HAVEN, FL, 33881
Mail Address: 2400 DUNDEE ROAD, WINTER HAVEN, FL, 33881
ZIP code: 33881
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578681664 2007-03-27 2024-10-01 PO BOX 22201, TAMPA, FL, 336222201, US 2400 DUNDEE RD, WINTER HAVEN, FL, 338841166, US

Contacts

Phone +1 863-651-1831
Fax 8448760873
Phone +1 352-867-8898
Fax 3527326282

Authorized person

Name JORGE VILLARREAL
Role MD
Phone 8636511831

Taxonomy

Taxonomy Code 207LP2900X - Pain Medicine (Anesthesiology) Physician
State FL
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS BLUE SHIELD
Number 97589
State FL
Issuer MEDICAID
Number 307335100
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC RETIREMENT SAVINGS PLAN 2023 208588338 2024-07-18 ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621111
Sponsor’s telephone number 8632938471
Plan sponsor’s address 2400 DUNDEE ROAD, WINTER HAVEN, FL, 33884
ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC RETIREMENT SAVINGS PLAN 2022 208588338 2023-03-15 ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621111
Sponsor’s telephone number 8632938471
Plan sponsor’s address 2400 DUNDEE ROAD, WINTER HAVEN, FL, 33884
ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC RETIREMENT SAVINGS PLAN 2021 208588338 2022-06-20 ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621111
Sponsor’s telephone number 8632938471
Plan sponsor’s address 2400 DUNDEE ROAD, WINTER HAVEN, FL, 33884
ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC RETIREMENT SAVINGS PLAN 2020 208588338 2021-08-02 ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621111
Sponsor’s telephone number 8632938471
Plan sponsor’s address 2400 DUNDEE ROAD, WINTER HAVEN, FL, 33884
ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC RETIREMENT SAVINGS PLAN 2019 208588338 2020-11-30 ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621111
Sponsor’s telephone number 8632938471
Plan sponsor’s address 2400 DUNDEE ROAD, WINTER HAVEN, FL, 33884
ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC RETIREMENT SAVINGS PLAN 2018 208588338 2019-11-15 ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621111
Sponsor’s telephone number 8632938471
Plan sponsor’s address 2400 DUNDEE ROAD, WINTER HAVEN, FL, 33884
ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC RETIREMENT SAVINGS PLAN 2017 208588338 2018-11-02 ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621111
Sponsor’s telephone number 8632938471
Plan sponsor’s address 2400 DUNDEE ROAD, WINTER HAVEN, FL, 33884
ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC RETIREMENT SAVINGS PLAN 2016 208588338 2017-12-15 ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621111
Sponsor’s telephone number 8632938471
Plan sponsor’s address 2400 DUNDEE ROAD, WINTER HAVEN, FL, 33884
ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC RETIREMENT SAVINGS PLAN 2015 208588338 2016-12-20 ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621111
Sponsor’s telephone number 8632938471
Plan sponsor’s address 2400 DUNDEE ROAD, WINTER HAVEN, FL, 33884

Signature of

Role Plan administrator
Date 2016-12-20
Name of individual signing JORGE VILLARREAL
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC RETIREMENT SAVINGS PLAN 2015 208588338 2016-12-01 ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC 12
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621111
Sponsor’s telephone number 8632938471
Plan sponsor’s address 2400 DUNDEE ROAD, WINTER HAVEN, FL, 33884

Signature of

Role Plan administrator
Date 2016-12-01
Name of individual signing JORGE VILLARREAL
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
VILLARREAL JORGE President 2400 DUNDEE RD, WINTER HAVEN, FL, 33884
LARREA PABLO Secretary 2440 DUNDEE RD, WINTER HAVEN, FL, 33884
VILLARREAL JORGE R Agent 120 WYNDHAM DRIVE, WINTER HAVEN, FL, 33884

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000026516 UNITED ANESTHESIA PROVIDERS EXPIRED 2013-03-18 2018-12-31 - 2400 DUNDEE ROAD, WINTER HAVEN, FL, 33881

Events

Event Type Filed Date Value Description
REINSTATEMENT 2020-02-11 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
REINSTATEMENT 2017-02-23 - -
REGISTERED AGENT NAME CHANGED 2017-02-23 VILLARREAL, JORGE R -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -

Documents

Name Date
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-04-07
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-01-30
REINSTATEMENT 2020-02-11
REINSTATEMENT 2017-02-23
ANNUAL REPORT 2015-01-13
ANNUAL REPORT 2014-01-08
ANNUAL REPORT 2013-03-16
ANNUAL REPORT 2012-01-04

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1028017102 2020-04-09 0455 PPP 2400 DUNDEE RD, WINTER HAVEN, FL, 33884-1166
Loan Status Date 2021-02-05
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 472573
Loan Approval Amount (current) 472573
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17113
Servicing Lender Name Citizens Bank and Trust
Servicing Lender Address 2 E Wall St, FROSTPROOF, FL, 33843-2127
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address WINTER HAVEN, POLK, FL, 33884-1166
Project Congressional District FL-18
Number of Employees 25
NAICS code 621111
Borrower Race White
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 17113
Originating Lender Name Citizens Bank and Trust
Originating Lender Address FROSTPROOF, FL
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 476209.19
Forgiveness Paid Date 2021-01-20
3537828505 2021-02-24 0455 PPS 2400 Dundee Rd, Winter Haven, FL, 33884-1166
Loan Status Date 2021-11-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 313027.5
Loan Approval Amount (current) 313027.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17113
Servicing Lender Name Citizens Bank and Trust
Servicing Lender Address 2 E Wall St, FROSTPROOF, FL, 33843-2127
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Winter Haven, POLK, FL, 33884-1166
Project Congressional District FL-18
Number of Employees 10
NAICS code 621111
Borrower Race White
Borrower Ethnicity Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 17113
Originating Lender Name Citizens Bank and Trust
Originating Lender Address FROSTPROOF, FL
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 315027.4
Forgiveness Paid Date 2021-10-22

Date of last update: 01 Apr 2025

Sources: Florida Department of State