| Entity Name: | BISCAYNE ANESTHESIA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 26 Apr 2017 (8 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L17000093095 |
| FEI/EIN Number | 82-1337651 |
| Address: | 5944 CORAL RIDGE DRIVE #170, CORAL SPRINGS, FL, 33076, US |
| Mail Address: | 5944 CORAL RIDGE DRIVE #170, CORAL SPRINGS, FL, 33076, US |
| ZIP code: | 33076 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447785118 | 2017-05-01 | 2017-05-01 | 5944 CORAL RIDGE DR # 170, CORAL SPRINGS, FL, 330763300, US | 5944 CORAL RIDGE DR # 170, CORAL SPRINGS, FL, 330763300, US | |||||||||||||||||||||||||
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| Phone | +1 954-800-7350 |
| Fax | 9548270852 |
Authorized person
| Name | NICOLE ARENDT |
| Role | MANAGER |
| Phone | 9548007350 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | L17000093095 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | L170000093095 |
| Number | L17000093095 |
| State | FL |
| Name | Role |
|---|---|
| BCRA, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| BARACK JUSTIN | Manager | 5944 CORAL RIDGE DRIVE #170, CORAL SPRINGS, FL, 33076 |
| Name | Role | Address |
|---|---|---|
| BARACK STEPHANIE | Vice President | 5944 CORAL RIDGE DRIVE #170, CORAL SPRINGS, FL, 33076 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-08-09 | LYNN FINANCIAL CENTER, 1905 NW CORPORATE BLVD, SUITE 310, BOCA RATON, FL 33431 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-03-18 |
| AMENDED ANNUAL REPORT | 2019-05-02 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-03-08 |
| Florida Limited Liability | 2017-04-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
