| Entity Name: | AMS PANAMA CITY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Oct 2016 (8 years ago) |
| Document Number: | L16000186544 |
| FEI/EIN Number | 81-4079938 |
| Address: | 28 N Palafox Street, Pensacola, FL 32502 |
| Mail Address: | 28 N Palafox Street, Pensacola, FL 32502 |
| ZIP code: | 32502 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194276253 | 2016-10-24 | 2016-10-24 | PO BOX 3524, SPRINGFIELD, IL, 627083524, US | 615 N BONITA AVE, PANAMA CITY, FL, 324013623, US | |||||||||||||||||||||||
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| Phone | +1 941-360-1566 |
| Fax | 9413589818 |
Authorized person
| Name | DAVID W. SIMPSON |
| Role | MEMBER |
| Phone | 9413601566 |
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 | Address |
|---|---|---|
| SIMPSON, DAVID W, MD | Agent | 28 N Palafox Street, Pensacola, FL 32502 |
| Name | Role | Address |
|---|---|---|
| ISAAC, PHILIP A, MD | Manager | 615 N. BONITA AVENUE, SUITE # 205, PANAMA CITY, FL 32401 |
| SIMPSON, DAVID W, MD | Manager | 28 N Palafox Street, Pensacola, FL 32502 |
| SIVERIO, MANUEL F, JR. | Manager | 28 N Palafox Street, Pensacola, FL 32502 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-13 | 28 N Palafox Street, Pensacola, FL 32502 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-13 | 28 N Palafox Street, Pensacola, FL 32502 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-13 | 28 N Palafox Street, Pensacola, FL 32502 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-03-23 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-31 |
| ANNUAL REPORT | 2019-01-23 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-04-27 |
| Florida Limited Liability | 2016-10-07 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
