| Entity Name: | AMELIA ISLAND ANESTHESIA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 25 Feb 2008 (17 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | L08000021096 |
| FEI/EIN Number | 262085476 |
| Address: | 1790 GARDENIA ST, FERNANDINA BEACH, FL, 32034 |
| Mail Address: | 1790 GARDENIA ST, FERNANDINA BEACH, FL, 32034 |
| ZIP code: | 32034 |
| County: | Nassau |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326218439 | 2008-03-04 | 2008-05-27 | 1790 GARDENIA ST, FERNANDINA BEACH, FL, 320341980, US | 2416 LYNNDALE RD, SUITE 110, FERNANDINA BEACH, FL, 320345252, US | |||||||||||||||||||
|
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| Phone | +1 941-752-1900 |
| Fax | 9417521905 |
Authorized person
| Name | DR. LESTER N HAUGE |
| Role | OWNER |
| Phone | 9417521900 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| License Number | ME78635 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HAUGE LESTER NORMAN J | Agent | 1790 GARDENIA ST, FERNANDINA BEACH, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| HAUGE LESTER NORMAN J | Manager | 1790 GARDENIA ST, FERNANDINA BEACH, FL, 32034 |
| HAUGE DOROTHY ELLEN | Manager | 1790 GARDENIA ST, FERNANDINA BEACH, FL, 32034 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-02 | 1790 GARDENIA ST, FERNANDINA BEACH, FL 32034 | No data |
| CHANGE OF MAILING ADDRESS | 2009-03-02 | 1790 GARDENIA ST, FERNANDINA BEACH, FL 32034 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-03-02 | 1790 GARDENIA ST, FERNANDINA BEACH, FL 32034 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-03-02 |
| Florida Limited Liability | 2008-02-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
