| Entity Name: | AMS SOUTHEAST, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 20 Oct 2011 (13 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L11000120443 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 950 N. COLLIER BLVD. #411, MARCO ISLAND, FL, 34145 |
| Mail Address: | 950 N. COLLIER BLVD. #411, MARCO ISLAND, FL, 34145 |
| ZIP code: | 34145 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487107157 | 2016-07-29 | 2024-06-05 | PO BOX 3184, SPRINGFIELD, IL, 627083184, US | 28 N PALAFOX ST, PENSACOLA, FL, 325025626, US | |||||||||||||||||||||||||||||
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| Phone | +1 941-360-1566 |
| Fax | 9413589818 |
| Phone | +1 866-653-2540 |
Authorized person
| Name | DAVID W. SIMPSON |
| Role | MEMBER |
| Phone | 9419618697 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| State | GA |
| Is Primary | Yes |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| State | GA |
| Is Primary | No |
| Taxonomy Code | 367H00000X - Anesthesiologist Assistant |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BRESNAHAN WILLIAM J | Agent | 950 N. COLLIER BLVD. #411, MARCO ISLAND, FL, 34145 |
| Name | Role | Address |
|---|---|---|
| BRESNAHAN WILLIAM J | Managing Member | 950 N. COLLIER BLVD. #411, MARCO ISLAND, FL, 34145 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-28 |
| ANNUAL REPORT | 2013-04-29 |
| ANNUAL REPORT | 2012-04-30 |
| Florida Limited Liability | 2011-10-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
