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ST. LUCIE ANESTHESIA ASSOCIATES, LLC

Company Details

Entity Name: ST. LUCIE ANESTHESIA ASSOCIATES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 25 Jan 2008 (17 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 31 May 2017 (8 years ago)
Document Number: L08000009189
FEI/EIN Number 26-1822664
Address: 20 Burton Hills Blvd, Suite 500, Nashville, TN 37215
Mail Address: 20 Burton Hills Blvd, Suite 500, Nashville, TN 37215
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669235784 2024-02-01 2024-02-01 PO BOX 745923, ATLANTA, GA, 303745923, US 5340 N FEDERAL HWY STE 100, LIGHTHOUSE POINT, FL, 330647058, US

Contacts
Phone +1 954-939-5000

Authorized person
Name KAREN MARIE VAUGHN
Role OFFICER
Phone 4044504684

Taxonomy
Taxonomy Code 207L00000X - Anesthesiology Physician
Is Primary Yes
Taxonomy Code 367500000X - Certified Registered Nurse Anesthetist
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ST. LUCIE ANESTHESIA ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2015 261822664 2017-03-13 ST. LUCIE ANESTHESIA ASSOCIATES, LLC 19
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7723983531
Plan sponsor’s address PO BOX 95, JENSEN BEACH, FL, 34958

Signature of
Role Plan administrator
Date 2017-03-13
Name of individual signing SANDRA R TURNER, ERPA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-13
Name of individual signing SANDRA R TURNER, ERPA
Valid signature Filed with authorized/valid electronic signature
ST. LUCIE ANESTHESIA ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2015 261822664 2017-08-17 ST. LUCIE ANESTHESIA ASSOCIATES, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7723983531
Plan sponsor’s address PO BOX 95, JENSEN BEACH, FL, 34958

Signature of
Role Plan administrator
Date 2017-08-17
Name of individual signing SANDRA R TURNER, ERPA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-17
Name of individual signing SANDRA R TURNER, ERPA
Valid signature Filed with authorized/valid electronic signature
ST. LUCIE ANESTHESIA ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2014 261822664 2015-10-07 ST. LUCIE ANESTHESIA ASSOCIATES, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7723983531
Plan sponsor’s address PO BOX 95, JENSEN BEACH, FL, 34958

Signature of
Role Plan administrator
Date 2015-10-07
Name of individual signing THOMAS NORDSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-07
Name of individual signing THOMAS NORDSTROM
Valid signature Filed with authorized/valid electronic signature
ST. LUCIE ANESTHESIA ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2013 261822664 2014-03-12 ST. LUCIE ANESTHESIA ASSOCIATES, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7723983531
Plan sponsor’s address PO BOX 95, JENSEN BEACH, FL, 34958

Signature of
Role Plan administrator
Date 2014-03-11
Name of individual signing JULIE CRISPIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-11
Name of individual signing JULIE CRISPIN
Valid signature Filed with authorized/valid electronic signature
ST. LUCIE ANESTHESIA ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2012 261822664 2013-05-08 ST. LUCIE ANESTHESIA ASSOCIATES, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7723983531
Plan sponsor’s address PO BOX 95, JENSEN BEACH, FL, 34958

Signature of
Role Plan administrator
Date 2013-05-08
Name of individual signing JULIE CRISPIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-08
Name of individual signing JULIE CRISPIN
Valid signature Filed with authorized/valid electronic signature
ST. LUCIE ANESTHESIA ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2011 261822664 2012-04-10 ST. LUCIE ANESTHESIA ASSOCIATES, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7723983531
Plan sponsor’s address PO BOX 95, JENSEN BEACH, FL, 34958

Plan administrator’s name and address
Administrator’s EIN 261822664
Plan administrator’s name ST. LUCIE ANESTHESIA ASSOCIATES, LLC
Plan administrator’s address PO BOX 95, JENSEN BEACH, FL, 34958
Administrator’s telephone number 7723983531

Signature of
Role Plan administrator
Date 2012-04-09
Name of individual signing JULIE CRISPIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-09
Name of individual signing JULIE CRISPIN
Valid signature Filed with authorized/valid electronic signature
ST. LUCIE ANESTHESIA ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2010 261822664 2012-12-26 ST. LUCIE ANESTHESIA ASSOCIATES, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7723983531
Plan sponsor’s address PO BOX 95, JENSON BEACH, FL, 34958

Plan administrator’s name and address
Administrator’s EIN 261822664
Plan administrator’s name ST. LUCIE ANESTHESIA ASSOCIATES, LLC
Plan administrator’s address PO BOX 95, JENSON BEACH, FL, 34958
Administrator’s telephone number 7723983531

Signature of
Role Plan administrator
Date 2012-12-24
Name of individual signing JULIE CRISPIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-12-24
Name of individual signing JULIE CRISPIN
Valid signature Filed with authorized/valid electronic signature
ST. LUCIE ANESTHESIA ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2010 261822664 2011-05-12 ST. LUCIE ANESTHESIA ASSOCIATES, LLC 17
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7723983531
Plan sponsor’s address PO BOX 95, JENSON BEACH, FL, 34958

Plan administrator’s name and address
Administrator’s EIN 261822664
Plan administrator’s name ST. LUCIE ANESTHESIA ASSOCIATES, LLC
Plan administrator’s address PO BOX 95, JENSON BEACH, FL, 34958
Administrator’s telephone number 7723983531

Signature of
Role Plan administrator
Date 2011-05-10
Name of individual signing JULIE CRISPIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-10
Name of individual signing JULIE CRISPIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

MANAGER

Name Role Address
Howe, Henry MANAGER 20 Burton Hills Blvd, Suite 500 Nashville, TN 37215

SECRETARY

Name Role Address
Marcus, Jillian SECRETARY 20 Burton Hills Blvd, Suite 500 Nashville, TN 37215

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-04-21 20 Burton Hills Blvd, Suite 500, Nashville, TN 37215 No data
CHANGE OF PRINCIPAL ADDRESS 2024-04-21 20 Burton Hills Blvd, Suite 500, Nashville, TN 37215 No data
LC STMNT OF RA/RO CHG 2017-05-31 No data No data
REGISTERED AGENT ADDRESS CHANGED 2017-05-31 1201 HAYS ST, TALLAHASSEE, FL 32301 No data
REGISTERED AGENT NAME CHANGED 2017-05-31 CORPORATION SERVICE COMPANY No data
LC AMENDMENT 2016-08-05 No data No data
MERGER 2016-07-01 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 700000162317
LC AMENDMENT 2015-01-02 No data No data
LC AMENDMENT 2014-02-05 No data No data
LC AMENDMENT 2013-12-09 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-21
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-04-22
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-06-28
ANNUAL REPORT 2019-04-24
ANNUAL REPORT 2018-04-25
CORLCRACHG 2017-05-31
ANNUAL REPORT 2017-04-25
AMENDED ANNUAL REPORT 2016-10-20

Related by officers

Howe, Henry

SHERIDAN HEALTHCARE OF VIRGINIA, INC. JACKSONVILLE BEACHES ANESTHESIA ASSOCIATES, INC. GREATER FLORIDA ANESTHESIOLOGISTS, LLC TENNESSEE VALLEY NEONATOLOGY, INC. PHYSICIAN OFFICE PARTNERS, INC. SHERIDAN ANESTHESIA SERVICES OF ALABAMA, INC. NORTH FLORIDA PERINATAL ASSOCIATES, INC. SHERIDAN EMERGENCY PHYSICIAN SERVICES OF NORTH MISSOURI, INC. SHERIDAN RADIOLOGY MANAGEMENT SERVICES, INC. SHERIDAN HOSPITALIST SERVICES OF FLORIDA, INC.

Marcus, Jillian

SHERIDAN HEALTHCARE OF VIRGINIA, INC. JACKSONVILLE BEACHES ANESTHESIA ASSOCIATES, INC. GREATER FLORIDA ANESTHESIOLOGISTS, LLC TENNESSEE VALLEY NEONATOLOGY, INC. PHYSICIAN OFFICE PARTNERS, INC. SHERIDAN ANESTHESIA SERVICES OF ALABAMA, INC. NORTH FLORIDA PERINATAL ASSOCIATES, INC. COMPREHENSIVE TELERADIOLOGY SOLUTIONS, INC. SHERIDAN EMERGENCY PHYSICIAN SERVICES OF NORTH MISSOURI, INC. SHERIDAN RADIOLOGY MANAGEMENT SERVICES, INC.

Related by address

20 Burton Hills Blvd, Suite 500, Nashville, TN 37215

JACKSONVILLE BEACHES ANESTHESIA ASSOCIATES, INC. GREATER FLORIDA ANESTHESIOLOGISTS, LLC TENNESSEE VALLEY NEONATOLOGY, INC. HOFFMAN PARK EMERGENCY PHYSICIANS, LLC NORTH FLORIDA PERINATAL ASSOCIATES, INC. COMPREHENSIVE TELERADIOLOGY SOLUTIONS, INC. SHERIDAN CRITICAL CARE SERVICES, P.A. SHERIDAN EMERGENCY PHYSICIAN SERVICES OF NORTH MISSOURI, INC. SUNAPEE INPATIENT SERVICES, LLC

20 Burton Hills Blvd, Suite 500, Nashville, TN 37215

JACKSONVILLE BEACHES ANESTHESIA ASSOCIATES, INC. GREATER FLORIDA ANESTHESIOLOGISTS, LLC TENNESSEE VALLEY NEONATOLOGY, INC. HOFFMAN PARK EMERGENCY PHYSICIANS, LLC NORTH FLORIDA PERINATAL ASSOCIATES, INC. COMPREHENSIVE TELERADIOLOGY SOLUTIONS, INC. SHERIDAN CRITICAL CARE SERVICES, P.A. SHERIDAN EMERGENCY PHYSICIAN SERVICES OF NORTH MISSOURI, INC. SUNAPEE INPATIENT SERVICES, LLC

Date of last update: 26 Jan 2025

Sources: Florida Department of State

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