| Entity Name: | WEST FLORIDA ANESTHESIA ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Jun 2017 (8 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 13 Feb 2024 (a year ago) |
| Document Number: | L17000130484 |
| FEI/EIN Number | 36-4871240 |
| Address: | 63 Barkley Circle Suite 104, FORT MYERS, FL, 33907, US |
| Mail Address: | 1355 Peachtree St NE Suite 1600, ATLANTA, GA, 30309, US |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962926568 | 2017-07-26 | 2021-10-01 | PO BOX 947594, ATLANTA, GA, 303947594, US | 63 BARKLEY CIR STE 104, FORT MYERS, FL, 339074514, US | |||||||||||||||||||||||
|
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| Phone | +1 888-337-3509 |
| Fax | 9412093997 |
| Phone | +1 239-275-8452 |
| Fax | 2392743182 |
Authorized person
| Name | JAMES KREGER |
| Role | MANAGER |
| Phone | 2059994132 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | No |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| AGATHE LLC | Seni |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000112386 | UNITED DIGESTIVE | ACTIVE | 2023-09-13 | 2028-12-31 | No data | 1355 PEACHTREE ST NE SUITE 1600, ATLANTA, GA, 30309 |
| G17000073405 | CRH ANESTHESIA | ACTIVE | 2017-07-07 | 2027-12-31 | No data | 227 BELLEVUE WAY NE, #188, BELLEVUE, WA, 98004 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2024-02-13 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-02-13 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-13 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-07-27 | 63 Barkley Circle Suite 104, FORT MYERS, FL 33907 | No data |
| CHANGE OF MAILING ADDRESS | 2023-07-27 | 63 Barkley Circle Suite 104, FORT MYERS, FL 33907 | No data |
| LC AMENDMENT | 2022-09-21 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-24 |
| CORLCRACHG | 2024-02-13 |
| AMENDED ANNUAL REPORT | 2023-11-28 |
| ANNUAL REPORT | 2023-02-01 |
| LC Amendment | 2022-09-21 |
| ANNUAL REPORT | 2022-02-24 |
| ANNUAL REPORT | 2021-03-11 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-02-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
