| Entity Name: | FPRA ANESTHESIA SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Mar 2016 (9 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 05 Oct 2022 (2 years ago) |
| Document Number: | L16000056108 |
| FEI/EIN Number | 36-4832592 |
| Address: | 5280 Corporate Drive, Suite C-250, Frederick, MD, 21703, US |
| Mail Address: | 5280 Corporate Drive, Suite C-250, Frederick, MD, 21703, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952756728 | 2016-04-29 | 2016-04-29 | 6094 14TH ST W, #177, BRADENTON, FL, 342074104, US | 1693 LEE RD, SUITE A, WINTER PARK, FL, 327892260, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 941-360-1566 |
| Phone | +1 407-287-4300 |
| Fax | 4079828048 |
Authorized person
| Name | CHERIAN K. SAJAN |
| Role | MD/MEMBER |
| Phone | 9413601566 |
Taxonomy
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role |
|---|---|
| FLORIDA PAIN & REHABILITATION ASSOCIATES, INC. | Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-28 | 5280 Corporate Drive, Suite C-250, Frederick, MD 21703 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-28 | 5280 Corporate Drive, Suite C-250, Frederick, MD 21703 | No data |
| LC STMNT OF RA/RO CHG | 2022-10-05 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-10-05 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-10-05 | C T CORPORATION SYSTEM | No data |
| REINSTATEMENT | 2022-06-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-04-12 |
| CORLCRACHG | 2022-10-05 |
| REINSTATEMENT | 2022-06-28 |
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-03-06 |
| ANNUAL REPORT | 2018-03-16 |
| ANNUAL REPORT | 2017-04-04 |
| Florida Limited Liability | 2016-03-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
