| Entity Name: | ANTEBELLUM ANESTHESIA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
ANTEBELLUM ANESTHESIA LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 14 Oct 2010 (15 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 21 Nov 2016 (8 years ago) |
| Document Number: | L10000107609 |
| FEI/EIN Number |
27-3665106
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 653 W. 23rd St, PANAMA CITY, FL, 32405, US |
| Mail Address: | 653 W. 23rd St, PANAMA CITY, FL, 32405, US |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770016503 | 2017-04-08 | 2017-08-14 | 653 W 23RD ST, #284, PANAMA CITY, FL, 324053922, US | 202 DOCTORS DR, PANAMA CITY, FL, 324054454, US | |||||||||||||||||||||||||||
|
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| Phone | +1 850-896-8799 |
Authorized person
| Name | DR. AMANDA RENA BROWN |
| Role | OWNER |
| Phone | 8508968799 |
Taxonomy
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| License Number | ARNP9216040 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000503500 |
| State | FL |
| Issuer | NPI |
| Number | 1235261595 |
| Name | Role | Address |
|---|---|---|
| BROWN AMANDA RDr. | Chief Executive Officer | 653 W. 23rd St, PANAMA CITY, FL, 32405 |
| Brown Amanda RDr. | Agent | 653 W. 23rd St, PANAMA CITY, FL, 32405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-25 | 653 W. 23rd St, #284, PANAMA CITY, FL 32405 | - |
| CHANGE OF MAILING ADDRESS | 2018-01-25 | 653 W. 23rd St, #284, PANAMA CITY, FL 32405 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-25 | 653 W. 23rd St, #284, PANAMA CITY, FL 32405 | - |
| REINSTATEMENT | 2016-11-21 | - | - |
| REGISTERED AGENT NAME CHANGED | 2016-11-21 | Brown, Amanda Rena, Dr. | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-07 |
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-01-17 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-02-04 |
| ANNUAL REPORT | 2018-01-25 |
| ANNUAL REPORT | 2017-01-23 |
| REINSTATEMENT | 2016-11-21 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
