| Entity Name: | ASMAR ANESTHESIA PROVIDERS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Jul 2011 (14 years ago) |
| Document Number: | L11000080013 |
| FEI/EIN Number | 452761612 |
| Address: | 2741 DUNSINANE RD, PENSACOLA, FL, 32503, US |
| Mail Address: | 2741 DUNSINANE RD, PENSACOLA, FL, 32503, US |
| ZIP code: | 32503 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821369349 | 2012-01-13 | 2016-10-12 | PO BOX 12356, PENSACOLA, FL, 325912356, US | 2741 DUNSINANE RD, PENSACOLA, FL, 325035814, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 850-529-1919 |
| Fax | 8506078006 |
Authorized person
| Name | PHILIP E ASMAR |
| Role | REGIONAL ANESTHESIOLOGIST |
| Phone | 8505291919 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| License Number | ME85156 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| License Number | ME85156 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| License Number | MD33357 |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001339700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ASMAR PHILIP | Agent | 2741 DUNSINANE RD, PENSACOLA, FL, 32503 |
| Name | Role | Address |
|---|---|---|
| ASMAR PHILIP | Managing Member | 2741 DUNSINANE RD, PENSACOLA, FL, 32503 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2013-03-15 | 2741 DUNSINANE RD, PENSACOLA, FL 32503 | No data |
| CHANGE OF MAILING ADDRESS | 2013-03-15 | 2741 DUNSINANE RD, PENSACOLA, FL 32503 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-03-15 | 2741 DUNSINANE RD, PENSACOLA, FL 32503 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-02-28 |
| ANNUAL REPORT | 2021-02-23 |
| ANNUAL REPORT | 2020-03-04 |
| ANNUAL REPORT | 2019-02-19 |
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-03-22 |
| ANNUAL REPORT | 2016-03-07 |
| ANNUAL REPORT | 2015-03-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
