| Entity Name: | KEY WEST ANESTHESIA ASSOCIATES, PLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 17 Mar 2009 (16 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L09000026341 |
| FEI/EIN Number | 26-4478560 |
| Address: | LOWER KEYS MEDICAL CENTER, 5900 COLLEGE ROAD, KEY WEST, FL 33040 |
| Mail Address: | 3514 Sunrise Drive, KEY WEST, FL 33040 |
| ZIP code: | 33040 |
| County: | Monroe |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891938221 | 2009-04-15 | 2014-06-02 | 5900 COLLEGE RD, LOWER KEYS MEDICAL CENTER ANESTHESIA DEPT, KEY WEST, FL, 330404342, US | 5900 COLLEGE RD, LOWER KEYS MEDICAL CENTER ANESTHESIA DEPT, KEY WEST, FL, 330404342, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-294-5535 |
| Fax | 3052929196 |
Authorized person
| Name | DR. ROBERT E EID |
| Role | MANAGING MEMBER |
| Phone | 3053951590 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| License Number | ME38704 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RR MEDICARE |
| Number | DP5872 |
| State | FL |
| Issuer | MEDICAID |
| Number | 000988100 |
| State | FL |
| Issuer | BCBS OF FL |
| Number | 00A1B |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Florida Accounting Associates, PA | Agent | 2443 Pine Wood Circle, NAPLES, FL 34105 |
| Name | Role | Address |
|---|---|---|
| GREENWOOD, WILLIAM | Manager | 2401 SEIDENBERG AVE, KEY WEST, FL 33045 |
| Robert Eid MD PA | Manager | 3514 Sunrise Drive, KEY WEST, FL 33040 |
| Name | Role | Address |
|---|---|---|
| Todd Rappaport MD PA | mgr | 1031 1ST Street South Suiter 902, Jacksonville Beach, FL 32250 |
| PGI Anesthesia Corp | mgr | 240 Lewis Circle Suite 314, Punta Gorda, FL 33950 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2013-06-18 | LOWER KEYS MEDICAL CENTER, 5900 COLLEGE ROAD, KEY WEST, FL 33040 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-06-18 | Florida Accounting Associates, PA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-06-18 | 2443 Pine Wood Circle, NAPLES, FL 34105 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-02-01 | LOWER KEYS MEDICAL CENTER, 5900 COLLEGE ROAD, KEY WEST, FL 33040 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-01-06 |
| ANNUAL REPORT | 2014-02-01 |
| ANNUAL REPORT | 2013-06-18 |
| ANNUAL REPORT | 2012-02-14 |
| ANNUAL REPORT | 2011-01-07 |
| ANNUAL REPORT | 2010-02-01 |
| Florida Limited Liability | 2009-03-17 |
Date of last update: 24 Feb 2025
Sources: Florida Department of State
