| Entity Name: | LAKEWOOD AMBULATORY ANESTHESIA, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 22 Oct 2014 (10 years ago) |
| Date of dissolution: | 07 Jan 2025 (a month ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 07 Jan 2025 (a month ago) |
| Document Number: | L14000164709 |
| FEI/EIN Number | 47-2181179 |
| Address: | 206 SECOND STREET EAST, BRADENTON, FL 34208 |
| Mail Address: | 206 SECOND STREET EAST, BRADENTON, FL 34208 |
| ZIP code: | 34208 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013313733 | 2014-11-06 | 2014-11-06 | PO BOX 25095, TAMPA, FL, 336225095, US | 6015 POINTE WEST BLVD, STE 101, BRADENTON, FL, 342095525, US | |||||||||||||||||||||||
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| Phone | +1 941-360-1566 |
| Fax | 9413589818 |
Authorized person
| Name | BARRY L. SEVERS |
| Role | MEMBER MANAGER |
| Phone | 9417456829 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| State | FL |
| Is Primary | No |
| Name | Role |
|---|---|
| BLALOCK WALTERS, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| SEVERS, BARRY L | Manager | 206 SECOND STREET EAST, BRADENTON, FL 34208 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2025-01-07 | No data | No data |
| LC NAME CHANGE | 2016-11-14 | LAKEWOOD AMBULATORY ANESTHESIA, PLLC | No data |
| LC NAME CHANGE | 2015-02-26 | LAKEWOOD SPECIALTY ANESTHESIA, PLLC | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2025-01-07 |
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-01-12 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-01-24 |
| LC Name Change | 2016-11-14 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
