| Entity Name: | COLLIER ANESTHESIA PAIN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
COLLIER ANESTHESIA PAIN, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 12 Sep 2016 (9 years ago) |
| Date of dissolution: | 28 Mar 2024 (a year ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Mar 2024 (a year ago) |
| Document Number: | L16000169546 |
| FEI/EIN Number |
201224861
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 340 SEVEN SPRINGS WAY, BRENTWOOD, TN, 37027, US |
| Mail Address: | 340 SEVEN SPRINGS WAY, BRENTWOOD, TN, 37027, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306899349 | 2006-05-19 | 2022-07-21 | PO BOX 638900, CINCINNATI, OH, 452638900, US | 4035 EVANS AVE, SUITE 1, FORT MYERS, FL, 339019308, US | |||||||||||||||||||||||
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| Phone | +1 239-939-7375 |
| Fax | 2399395105 |
Authorized person
| Name | WAYNE ISAACSON |
| Role | MD |
| Phone | 2399397375 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 94852 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BALDOCK JENNIFER | Manager | 340 SEVEN SPRINGS WAY, BRENTWOOD, TN, 37027 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2024-03-28 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-24 | 340 SEVEN SPRINGS WAY, SUITE 600, BRENTWOOD, TN 37027 | - |
| CHANGE OF MAILING ADDRESS | 2023-04-24 | 340 SEVEN SPRINGS WAY, SUITE 600, BRENTWOOD, TN 37027 | - |
| REINSTATEMENT | 2018-10-22 | - | - |
| REGISTERED AGENT NAME CHANGED | 2018-10-22 | CORPORATION SERVICE COMPANY | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | - | - |
| CONVERSION | 2016-09-12 | - | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P04000089804. CONVERSION NUMBER 500000163845 |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2024-03-28 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-03-01 |
| REINSTATEMENT | 2018-10-22 |
| ANNUAL REPORT | 2017-04-30 |
| Florida Limited Liability | 2016-09-12 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
