| Entity Name: | MODERN ANESTHESIA COMPANY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Jul 2012 (13 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 08 Oct 2014 (10 years ago) |
| Document Number: | L12000092605 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 6550 N FEDERAL HIGHWAY, SUITE 510,, FORT LAUDERDALE, FL, 33308, US |
| Mail Address: | 6550 N FEDERAL HIGHWAY, SUITE 510,, FORT LAUDERDALE, FL, 33308, US |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194064451 | 2013-02-06 | 2013-02-06 | 300 E OAKLAND PARK BLVD, SUITE 502, OAKLAND PARK, FL, 333342148, US | 300 E OAKLAND PARK BLVD, SUITE 502, OAKLAND PARK, FL, 333342148, US | |||||||||||||
|
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| Phone | +1 561-202-0834 |
Authorized person
| Name | TAMMY RODRIGUEZ |
| Role | BILLING MANAGER |
| Phone | 5612020834 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATE ACCESS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| KIC MANAGEMENT GROUP, INC. | Manager | 200 Summit Drive, Suite 505,, Burlington, MA, 01803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-01 | 6550 N FEDERAL HIGHWAY, SUITE 510,, FORT LAUDERDALE, FL 33308 | No data |
| CHANGE OF MAILING ADDRESS | 2024-05-01 | 6550 N FEDERAL HIGHWAY, SUITE 510,, FORT LAUDERDALE, FL 33308 | No data |
| LC AMENDMENT | 2014-10-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-10-08 | CORPORATE ACCESS INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-10-08 | 236 E 6TH AVENUE, TALLAHASSEE, FL 33310 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-03-01 |
| ANNUAL REPORT | 2020-05-29 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-01 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
