Entity Name: | CENTRAL FLORIDA ANESTHESIA PROVIDERS, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 07 Jan 2010 (15 years ago) |
Date of dissolution: | 17 Jan 2020 (5 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 17 Jan 2020 (5 years ago) |
Document Number: | L10000002479 |
FEI/EIN Number | 271612341 |
Address: | 1304 SE 46TH STREET, OCALA, FL, 34480 |
Mail Address: | Po box 4473, OCALA, FL, 34478, US |
ZIP code: | 34480 |
County: | Marion |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1912238445 | 2010-01-22 | 2017-05-08 | 1304 SE 46TH ST, OCALA, FL, 344804716, US | 1304 SE 46TH ST, OCALA, FL, 344804716, US | |||||||||||||||||||||||||||
|
Phone | +1 352-843-7490 |
Authorized person
Name | LADDEN D HERRMANN |
Role | MGR |
Phone | 3522168639 |
Taxonomy
Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 306502201 |
State | FL |
Issuer | BC |
Number | G900U |
State | FL |
Name | Role | Address |
---|---|---|
HERRMANN LADDEN | Agent | 1304 SE 46TH STREET, OCALA, FL, 34480 |
Name | Role | Address |
---|---|---|
HERRMANN LADDEN | President | 1304 SE 46TH STREET, OCALA, FL, 34480 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2020-01-17 | No data | No data |
CHANGE OF MAILING ADDRESS | 2019-02-07 | 1304 SE 46TH STREET, OCALA, FL 34480 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2019-02-07 | 1304 SE 46TH STREET, OCALA, FL 34480 | No data |
REGISTERED AGENT NAME CHANGED | 2011-04-25 | HERRMANN, LADDEN | No data |
Name | Date |
---|---|
VOLUNTARY DISSOLUTION | 2020-01-17 |
ANNUAL REPORT | 2019-02-07 |
ANNUAL REPORT | 2018-01-15 |
ANNUAL REPORT | 2017-01-09 |
ANNUAL REPORT | 2016-03-09 |
ANNUAL REPORT | 2015-01-12 |
ANNUAL REPORT | 2014-02-09 |
ANNUAL REPORT | 2013-01-25 |
ANNUAL REPORT | 2012-03-22 |
ANNUAL REPORT | 2011-04-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State