| Entity Name: | PELICAN ANESTHESIA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PELICAN 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: | 05 Apr 2012 (13 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 05 Apr 2012 (13 years ago) |
| Document Number: | L12000047463 |
| FEI/EIN Number |
65-0491008
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5101 SW 8th Street, Miami, FL, 33134, US |
| Mail Address: | 5101 SW 8th Street, Miami, FL, 33134, US |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720386402 | 2011-03-04 | 2024-09-19 | 5101 SW 8TH STREET, SUITE 200, CORAL GABLES, FL, 331342442, US | 5101 SW 8TH STREET, SUITE 200, CORAL GABLES, FL, 331342442, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 305-262-6060 |
| Fax | 3052626038 |
Authorized person
| Name | MRS. JANETTE PEREZ |
| Role | CREDENTIALING DIRECTOR |
| Phone | 3053595037 |
Taxonomy
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OF FLORIDA |
| Number | G9008 |
| State | FL |
| Issuer | MEDICAID |
| Number | 005487400 |
| State | FL |
| Name | Role |
|---|---|
| GASTROMED, LLC | Managing Member |
| CORPORATION SERVICE COMPANY | Agent |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-15 | 5101 SW 8th Street, Ste 201, Miami, FL 33134 | - |
| CHANGE OF MAILING ADDRESS | 2023-04-28 | 5101 SW 8th Street, Ste 201, Miami, FL 33134 | - |
| REGISTERED AGENT NAME CHANGED | 2023-04-28 | Corporation Service Company | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-28 | 1201 Hays Street, Tallahassee, FL 32301 | - |
| CONVERSION | 2012-04-05 | - | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P94000041606. CONVERSION NUMBER 300000121663 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-15 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-04-06 |
| ANNUAL REPORT | 2017-04-21 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
