| Entity Name: | PROACTIVE ANESTHESIA MANAGEMENT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 01 May 2012 (13 years ago) |
| Date of dissolution: | 21 Apr 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 21 Apr 2015 (10 years ago) |
| Document Number: | L12000058267 |
| FEI/EIN Number | 46-1428828 |
| Address: | 3948 3RD ST SOUTH, SUITE 310, JACKSONVILLE BEACH, FL 32250 |
| Mail Address: | 3948 3RD ST SOUTH, SUITE 310, JACKSONVILLE BEACH, FL 32250 |
| ZIP code: | 32250 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194060624 | 2012-12-10 | 2013-06-21 | 320 1ST ST N, SUITE 603, JACKSONVILLE BEACH, FL, 322506944, US | 320 1ST ST N, SUITE 603, JACKSONVILLE BEACH, FL, 322506944, US | |||||||||||||||||
|
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| Phone | +1 904-274-3310 |
Authorized person
| Name | MR. IAN DAVIES |
| Role | CEO |
| Phone | 9042743310 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | No |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAVIES, IAN | Agent | 3948 3RD ST SOUTH, SUITE 310, JACKSONVILLE BEACH, FL 32250 |
| Name | Role | Address |
|---|---|---|
| DAVIES, IAN | Managing Member | 3948 3RD ST SOUTH, SUITE 310 JACKSONVILLE BEACH, FL 32250 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-04-21 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-02-25 | 3948 3RD ST SOUTH, SUITE 310, JACKSONVILLE BEACH, FL 32250 | No data |
| CHANGE OF MAILING ADDRESS | 2014-02-25 | 3948 3RD ST SOUTH, SUITE 310, JACKSONVILLE BEACH, FL 32250 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-02-25 | 3948 3RD ST SOUTH, SUITE 310, JACKSONVILLE BEACH, FL 32250 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-21 |
| VOLUNTARY DISSOLUTION | 2015-04-21 |
| ANNUAL REPORT | 2014-02-25 |
| ANNUAL REPORT | 2013-02-18 |
| Florida Limited Liability | 2012-05-01 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
