| Entity Name: | TWIN CITIES ANESTHESIA ASSOCIATES, PL |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Nov 2007 (17 years ago) |
| Document Number: | L07000114574 |
| FEI/EIN Number | 261404171 |
| Address: | 2190 HIGHWAY 85 N, NICEVILLE, FL, 32578 |
| Mail Address: | 4333 Carriage Lane, Destin, FL, 32541, US |
| ZIP code: | 32578 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497199731 | 2013-04-17 | 2013-06-18 | PO BOX 7419, ORLANDO, FL, 328917419, US | 2190 HIGHWAY 85 N, NICEVILLE, FL, 325781045, US | |||||||||||||||||||||||
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| Phone | +1 866-619-4860 |
| Fax | 8666652702 |
| Phone | +1 850-678-4131 |
| Fax | 8507299342 |
Authorized person
| Name | DR. ARTHUR P BROADERICK |
| Role | PRESIDENT |
| Phone | 8508032297 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| License Number | ME69348 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BROADERICK ARTHUR P | Agent | 4333 Carriage Lane, Destin, FL, 32541 |
| Name | Role | Address |
|---|---|---|
| BROADERICK ARTHUR PAUL | Manager | 2190 HIGHWAY 85 N, NICEVILLE, FL, 32578 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-03-04 | 2190 HIGHWAY 85 N, NICEVILLE, FL 32578 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-04 | 4333 Carriage Lane, Destin, FL 32541 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-08 | BROADERICK, ARTHUR P | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-03-17 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-04-05 |
| ANNUAL REPORT | 2020-03-04 |
| ANNUAL REPORT | 2019-03-19 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-07-08 |
| ANNUAL REPORT | 2015-04-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
