| Entity Name: | PRESTIGE ANESTHESIA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Jul 2014 (11 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 06 Mar 2024 (a year ago) |
| Document Number: | L14000107863 |
| FEI/EIN Number | 47-1295730 |
| Address: | 5944 CORAL RIDGE DR, STE. 170, CORAL SPRINGS, FL, 33076, US |
| Mail Address: | 5944 CORAL RIDGE DR, STE. 170, CORAL SPRINGS, FL, 33076, US |
| ZIP code: | 33076 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982008215 | 2014-10-15 | 2014-10-15 | 6375 NW 120TH DR, CORAL SPRINGS, FL, 330761904, US | 6375 NW 120TH DR, CORAL SPRINGS, FL, 330761904, US | |||||||||||||||||||
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| Phone | +1 954-800-7350 |
| Fax | 9548007350 |
Authorized person
| Name | DR. JUSTIN BARACK |
| Role | MANAGING MEMBER |
| Phone | 9542990900 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| License Number | ME111972 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PRESTIGE ANESTHESIA, LLC PENSION PLAN | 2023 | 471295730 | 2024-09-28 | PRESTIGE ANESTHESIA, LLC | 3 | |||||||||||||
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| PRESTIGE ANESTHESIA, LLC PENSION PLAN | 2022 | 471295730 | 2023-10-02 | PRESTIGE ANESTHESIA, LLC | 3 | |||||||||||||
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| PRESTIGE ANESTHESIA, LLC PENSION PLAN | 2021 | 471295730 | 2022-10-02 | PRESTIGE ANESTHESIA, LLC | 3 | |||||||||||||
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| PRESTIGE ANESTHESIA, LLC PENSION PLAN | 2020 | 471295730 | 2021-10-05 | PRESTIGE ANESTHESIA, LLC | 2 | |||||||||||||
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| Name | Role |
|---|---|
| CAPITOL CORPORATE SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| BARACK JUSTIN | Manager | 5944 CORAL RIDGE DR, STE. 170, CORAL SPRINGS, FL, 33076 |
| Name | Role | Address |
|---|---|---|
| Barack Stephanie | Vice President | 5944 CORAL RIDGE DR, STE. 170, CORAL SPRINGS, FL, 33076 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2024-03-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-03-06 | CAPITOL CORPORATE SERVICES, INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-06 | 515 EAST PARK AVE., 2ND FL, TALLAHASSEE, FL 32301 | No data |
| LC STMNT OF RA/RO CHG | 2022-09-19 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-02-17 | 5944 CORAL RIDGE DR, STE. 170, CORAL SPRINGS, FL 33076 | No data |
| LC AMENDED AND RESTATED ARTICLES | 2015-02-17 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2015-02-17 | 5944 CORAL RIDGE DR, STE. 170, CORAL SPRINGS, FL 33076 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| CORLCRACHG | 2024-03-06 |
| Reg. Agent Resignation | 2023-12-04 |
| ANNUAL REPORT | 2023-03-03 |
| CORLCRACHG | 2022-09-19 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-03-18 |
| AMENDED ANNUAL REPORT | 2019-05-02 |
| ANNUAL REPORT | 2019-02-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
