| Entity Name: | GULF COAST PROFESSIONAL ANESTHESIA ASSOCIATES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Mar 2014 (11 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 17 Dec 2021 (3 years ago) |
| Document Number: | L14000049747 |
| FEI/EIN Number | 46-5207621 |
| Mail Address: | 13644 WALSINGHAM ROAD, LARGO, FL, 33774, US |
| Address: | 1401 West Bay Drive, Largo, FL, 33770-2207, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831517440 | 2014-04-01 | 2021-04-27 | PO BOX 3048, SPRINGFIELD, IL, 627083048, US | 1401 W BAY DR, LARGO, FL, 337702207, US | |||||||||||||||||||
|
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| Phone | +1 240-469-2181 |
| Fax | 2403423837 |
| Phone | +1 888-851-4642 |
Authorized person
| Name | LAURA G ADKINS |
| Role | EXEC. DIRECTOR OF OPERATIONS |
| Phone | 8284240869 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MAXFIELD DANE LDO | Agent | 13644 WALSINGHAM ROAD, LARGO, FL, 33774 |
| Name | Role | Address |
|---|---|---|
| MAXFIELD DANE LDO | Manager | 13644 WALSINGHAM ROAD, LARGO, FL, 33774 |
| LUCKEY LISA RDO | Manager | 13644 WALSINGHAM ROAD, LARGO, FL, 33774 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2021-12-17 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-12-17 | MAXFIELD, DANE L, DO | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-19 | 1401 West Bay Drive, Largo, FL 33770-2207 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-03-12 |
| REINSTATEMENT | 2021-12-17 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-02-19 |
| ANNUAL REPORT | 2017-04-07 |
| ANNUAL REPORT | 2016-03-21 |
| ANNUAL REPORT | 2015-03-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
