| Entity Name: | VALANT ANESTHESIA SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 01 Mar 2017 (8 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L17000047943 |
| FEI/EIN Number | 82-0699261 |
| Mail Address: | 3716 NE 208TH TERRACE, AVENTURA, FL, 33180, US |
| Address: | 10521 SW VILLAGE CENTER DR, SUITE 104, PORT ST. LUCIE, FL, 34987, US |
| ZIP code: | 34987 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205377595 | 2017-03-20 | 2017-03-20 | PO BOX 740485, ATLANTA, GA, 303740485, US | 10521 SW VILLAGE CENTER DR, SUITE 104, PORT ST LUCIE, FL, 349871930, US | |||||||||||||||||||||||
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| Phone | +1 941-360-1566 |
| Fax | 9413589818 |
| Phone | +1 772-345-8602 |
| Fax | 7723458605 |
Authorized person
| Name | MARK I. EISENFELD |
| Role | MEMBER |
| Phone | 9413601566 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Eisenfeld Mark | Agent | 3716 NE 208TH TERRACE, AVENTURA, FL, 33180 |
| Name | Role | Address |
|---|---|---|
| EISENFELD MARK I | Manager | 3716 NE 208TH TERRACE, AVENTURA, FL, 33180 |
| Name | Role | Address |
|---|---|---|
| COHEN BRIAN D | Authorized Representative | 2350 NE 8TH ST, FORT LAUDERDALE, FL, 33304 |
| POTO ANTONIO | Authorized Representative | 2598 HIDDEN PALM WAY, PALM CITY, FL, 34990 |
| FRANCIS GREG | Authorized Representative | 182 SE VIA LAGO GARDA, PORT ST LUCIE, FL, 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-01-29 | Eisenfeld, Mark | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-29 | 3716 NE 208TH TERRACE, AVENTURA, FL 33180 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-01-29 |
| Florida Limited Liability | 2017-03-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
