| Entity Name: | PHOENIX ANESTHESIA, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Oct 2016 (8 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L16000192310 |
| FEI/EIN Number | 32-0509928 |
| Address: | 1331 N. LAWNWOOD CIRCLE, FORT PIERCE, FL, 34950, US |
| Mail Address: | 1331 N. LAWNWOOD CIRCLE, FORT PIERCE, FL, 34950, US |
| ZIP code: | 34950 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891231718 | 2017-01-17 | 2017-01-17 | 1331 N LAWNWOOD CIR, FORT PIERCE, FL, 34950, US | 1331 N LAWNWOOD CIR, FORT PIERCE, FL, 34950, US | |||||||||||||||
|
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| Phone | +1 772-489-5900 |
| Fax | 7724892086 |
Authorized person
| Name | MR. ANJANAYA PRASAD R KORLIPARA |
| Role | PRESIDENT |
| Phone | 7724895900 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PRASAD R. KORLIPARA ANJANAYA | Agent | 1331 N. LAWNWOOD CIRCLE, FORT PIERCE, FL, 34950 |
| Name | Role | Address |
|---|---|---|
| PRASAD R. KORLIPARA ANJANAYA | Manager | 1331 N. LAWNWOOD CIRCLE, FORT PIERCE, FL, 34950 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2017-11-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-11-02 | PRASAD R. KORLIPARA, ANJANAYA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-01-11 |
| ANNUAL REPORT | 2018-02-26 |
| REINSTATEMENT | 2017-11-02 |
| Florida Limited Liability | 2016-10-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
