| Entity Name: | ANESTHESIA PROFESSIONAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 11 Jan 2016 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L16000004641 |
| Address: | 4730 N. HABANA AVENUE, SUITE 204, TAMPA, FL, 33614 |
| Mail Address: | 4730 N. HABANA AVENUE, SUITE 204, TAMPA, FL, 33614 |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144687245 | 2016-01-20 | 2016-01-20 | 4730 N HABANA AVE, SUITE 204, TAMPA, FL, 336147163, US | 4730 N HABANA AVE, SUITE 204, TAMPA, FL, 336147163, US | |||||||||||||||||||
|
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| Phone | +1 813-549-2134 |
| Fax | 8138701383 |
Authorized person
| Name | DAVID WOOD |
| Role | CDO |
| Phone | 8135492134 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| KOCHE DAVID L | Agent | 601 BAYSHORE BLVD, TAMPA, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| WOOD DAVID A | Manager | 4730 N. HABANA AVENUE, SUITE 204, TAMPA, FL, 33614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2016-01-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
