| Entity Name: | DESTIN ANESTHESIA GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Apr 2007 (18 years ago) |
| Document Number: | L07000034850 |
| FEI/EIN Number | 208766228 |
| Address: | 36500 EMERALD COAST PARKWAY, DESTIN, FL, 32541, US |
| Mail Address: | 36500 EMERALD COAST PARKWAY, DESTIN, FL, 32541, US |
| ZIP code: | 32541 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083735005 | 2007-04-03 | 2007-10-23 | 36500 EMERALD COAST PKWY, DESTIN, FL, 325414713, US | 36500 EMERALD COAST PKWY, DESTIN, FL, 325414713, US | |||||||||||||||
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| Phone | +1 850-269-0301 |
| Fax | 8502690203 |
Authorized person
| Name | MRS. DEBORAH N MEIER |
| Role | FACILITY ADMINISTRATOR |
| Phone | 8502690301 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MABRY MARIANA CFO | Agent | 36500 EMERALD COAST PARKWAY, DESTIN, FL, 32541 |
| Name | Role | Address |
|---|---|---|
| EMERLAD COAST DIVERSIFIED - DESTIN, L.L.C. | Managing Member | 36500 EMERALD COAST PARKWAY, DESTIN, FL, 32541 |
| CHIPMAN DONALD | Managing Member | 36500 EMERALD COAST PARKWAY, DESTIN, FL, 32541 |
| GULF COAST DIVERSIFIED, INC. | Managing Member | No data |
| Name | Role | Address |
|---|---|---|
| RAGSDALE JASON C | Chief Executive Officer | 36500 EMERALD COAST PARKWAY, DESTIN, FL, 32541 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-04-27 | MABRY, MARIANA, CFO | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-22 | 36500 EMERALD COAST PARKWAY, DESTIN, FL 32541 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-04-27 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
