| Entity Name: | SOUTHPOINT ANESTHESIA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 14 May 2012 (13 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L12000064857 |
| FEI/EIN Number | 45-5269511 |
| Address: | 7051 Southpoint Parkway, JACKSONVILLE, FL, 32216, US |
| Mail Address: | 4800 Belfort Road, Jacksonville, FL, 32256, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457610172 | 2012-05-15 | 2012-05-15 | 6094 14TH ST W, STE 161, BRADENTON, FL, 342074104, US | 7051 SOUTHPOINT PKWY, 1ST FLOOR, JACKSONVILLE, FL, 322168713, US | |||||||||||||||||||||
|
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| Phone | +1 941-360-1566 |
| Fax | 9413589818 |
| Phone | +1 904-854-4854 |
Authorized person
| Name | JOHN GOL |
| Role | MANAGER |
| Phone | 9042656412 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GOL JOHN CFO | Agent | 4800 Belfort Road, Jacksonville, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| ETZKORN KYLE | President | 4800 Belfort Road, Jacksonville, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| GOL JOHN CFO | Manager | 4800 Belfort Road, Jacksonville, FL, 32256 |
| Name | Role |
|---|---|
| BORLAND-GROOVER CLINIC, P.A. | Managing Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-19 | GOL, JOHN, CFO | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-19 | 4800 Belfort Road, Jacksonville, FL 32256 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-10-13 | 7051 Southpoint Parkway, Suite 100, JACKSONVILLE, FL 32216 | No data |
| CHANGE OF MAILING ADDRESS | 2014-10-13 | 7051 Southpoint Parkway, Suite 100, JACKSONVILLE, FL 32216 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-19 |
| ANNUAL REPORT | 2018-03-01 |
| ANNUAL REPORT | 2017-02-14 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-03-23 |
| AMENDED ANNUAL REPORT | 2014-10-13 |
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-05-01 |
| Florida Limited Liability | 2012-05-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
