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  5. ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC

ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA, LLC

Company Details

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

Agent

Name Role Address
VILLARREAL JORGE R Agent 120 WYNDHAM DRIVE, WINTER HAVEN, FL, 33884

President

Name Role Address
VILLARREAL JORGE President 2400 DUNDEE RD, WINTER HAVEN, FL, 33884

Secretary

Name Role Address
LARREA PABLO Secretary 2440 DUNDEE RD, 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 No data 2400 DUNDEE ROAD, WINTER HAVEN, FL, 33881

Events

Event Type Filed Date Value Description
REINSTATEMENT 2020-02-11 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
REINSTATEMENT 2017-02-23 No data No data
REGISTERED AGENT NAME CHANGED 2017-02-23 VILLARREAL, JORGE R No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data

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

Related by officers

VILLARREAL JORGE

JEMAR LLC ADVANTAGE DIAGNOSTIC, INC. JOVI ENTERPRISES, INC.

VILLARREAL JORGE R

PAIN MANAGEMENT ASSOCIATES, LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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