| Entity Name: | NORTHRIDGE ANESTHESIA ASSOCIATES, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Jul 2008 (17 years ago) |
| Document Number: | L08000067998 |
| FEI/EIN Number | 270799863 |
| Address: | 10315 N.W. 63 DRIVE, PARKLAND, FL, 33076 |
| Mail Address: | 10315 N.W. 63 DRIVE, PARKLAND, FL, 33076 |
| ZIP code: | 33076 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619260452 | 2011-05-26 | 2011-05-26 | 10315 NW 63RD DR, PARKLAND, FL, 330762352, US | 10315 NW 63RD DR, PARKLAND, FL, 330762352, US | |||||||||||||||||
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| Phone | +1 954-344-4217 |
Authorized person
| Name | DR. RICHARD A KUSHNICK |
| Role | DIRECTOR |
| Phone | 9543444217 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| License Number | ME-0046481 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KUSHNICK RICHARD M | Agent | 10315 N.W. 63 DRIVE, PARKLAND, FL, 33076 |
| Name | Role | Address |
|---|---|---|
| KUSHNICK RICHARD M | Managing Member | 10315 N.W. 63 DRIVE, PARKLAND, FL, 33076 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-13 | 10315 N.W. 63 DRIVE, PARKLAND, FL 33076 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-12 | 10315 N.W. 63 DRIVE, PARKLAND, FL 33076 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-12 | 10315 N.W. 63 DRIVE, PARKLAND, FL 33076 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-04-12 | KUSHNICK, RICHARD M.D. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-02-06 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-04-07 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-07-06 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-02-23 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4485897205 | 2020-04-27 | 0455 | PPP | 10315 63RD DR, PARKLAND, FL, 33076-2352 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4916858508 | 2021-02-26 | 0455 | PPS | 10315 NW 63rd Dr, Parkland, FL, 33076-2352 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
