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BAY AREA ANESTHESIA SPECIALISTS, LLC

Company Details

Entity Name: BAY AREA ANESTHESIA SPECIALISTS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 22 Jul 2011 (14 years ago)
Date of dissolution: 27 Feb 2015 (10 years ago)
Last Event: LC VOLUNTARY DISSOLUTION
Event Date Filed: 27 Feb 2015 (10 years ago)
Document Number: L11000084358
FEI/EIN Number 264821654
Mail Address: P.O. BOX 627, ST. PETERSBURG, FL, 33731
Address: 6043 WINTHROP COMMERCE AVE, RIVERVIEW, FL, 33578
ZIP code: 33578
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902125958 2010-05-28 2013-03-04 PO BOX 850001 DEPT 0849, ORLANDO, FL, 328850849, US 6043 WINTHROP COMMERCE AVE, RIVERVIEW, FL, 335784272, US

Contacts

Phone +1 877-479-0450
Fax 8666652702

Authorized person

Name DEDRA HERN
Role OWNER
Phone 8774790450

Taxonomy

Taxonomy Code 207L00000X - Anesthesiology Physician
Is Primary Yes

Agent

Name Role Address
HERN DEDRA Agent 127 BAY POINT DRIVE N.E., ST. PETERSBURG, FL, 33704

Manager

Name Role Address
BENTON ERIK M Manager 1208 GOLF MEADOW BLVD, VALRICO, FL, 33596
HERN DEDRA Manager 127 BAY POINT DRIVE N.E., ST. PETERSBURG, FL, 33704

Events

Event Type Filed Date Value Description
LC VOLUNTARY DISSOLUTION 2015-02-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2012-02-13 6043 WINTHROP COMMERCE AVE, RIVERVIEW, FL 33578 No data
CONVERSION 2011-07-22 No data CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P09000038301. CONVERSION NUMBER 500000115265

Documents

Name Date
LC Voluntary Dissolution 2015-02-27
ANNUAL REPORT 2014-04-08
ANNUAL REPORT 2013-02-16
ANNUAL REPORT 2012-02-13
Florida Limited Liability 2011-07-22

Date of last update: 03 Feb 2025

Sources: Florida Department of State