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ANESTHESIA PHYSICIAN SOLUTIONS OF SOUTH FLORIDA, LLC

Company Details

Entity Name: ANESTHESIA PHYSICIAN SOLUTIONS OF SOUTH FLORIDA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 20 Dec 2013 (11 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 30 May 2017 (8 years ago)
Document Number: L13000175761
FEI/EIN Number 46-4364900
Address: 20 Burton Hills Boulevard, Suite 500, NASHVILLE, TN 37215
Mail Address: 20 Burton Hills Boulevard, Suite 500, NASHVILLE, TN 37215
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437823507 2021-08-03 2023-05-19 PO BOX 744522, ATLANTA, GA, 303744522, US 1800 SE TIFFANY AVE, PORT ST LUCIE, FL, 349527521, US

Contacts

Phone +1 877-328-1119

Authorized person

Name KAREN VAUGHN
Role OFFICER
Phone 4044504684

Taxonomy

Taxonomy Code 207L00000X - Anesthesiology Physician
Is Primary Yes
Taxonomy Code 367500000X - Certified Registered Nurse Anesthetist
Is Primary No

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

MANAGER

Name Role Address
Cuffee, Michael S MANAGER 20 Burton Hills Boulevard, Suite 500 NASHVILLE, TN 37215
Pavon, Ricardo MANAGER 20 Burton Hills Boulevard, Suite 500 NASHVILLE, TN 37215
Laverty, John MANAGER 20 Burton Hills Boulevard, Suite 500 NASHVILLE, TN 37215

Manager

Name Role Address
McCreesh, Glenn Manager 20 Burton Hills Boulevard, Suite 500 NASHVILLE, TN 37215
Page, Robert Manager 20 Burton Hills Boulevard, Suite 500 NASHVILLE, TN 37215
Brady MD, Tricia Manager 20 Burton Hills Boulevard, Suite 500 NASHVILLE, TN 37215

Chief Operating Officer

Name Role Address
BAXTER, MD, BRIAN Chief Operating Officer 20 Burton Hills Boulevard, Suite 500 NASHVILLE, TN 37215

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-17 20 Burton Hills Boulevard, Suite 500, NASHVILLE, TN 37215 No data
CHANGE OF MAILING ADDRESS 2024-04-17 20 Burton Hills Boulevard, Suite 500, NASHVILLE, TN 37215 No data
LC STMNT OF RA/RO CHG 2017-05-30 No data No data
REGISTERED AGENT NAME CHANGED 2017-05-30 CORPORATION SERVICE COMPANY No data
REGISTERED AGENT ADDRESS CHANGED 2017-05-30 1201 HAYS STREET, TALLAHASSEE, FL 32301 No data

Documents

Name Date
ANNUAL REPORT 2024-04-17
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-02-25
ANNUAL REPORT 2020-06-05
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-04-20
AMENDED ANNUAL REPORT 2017-10-30
CORLCRACHG 2017-05-30
ANNUAL REPORT 2017-04-26

Date of last update: 22 Jan 2025

Sources: Florida Department of State