| Entity Name: | FLORIDA DIGESTIVE ANESTHESIA ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 Aug 2017 (8 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L17000164825 |
| FEI/EIN Number | 82-2369072 |
| Address: | 2902 59TH STREET WEST, SUITE B, BRADENTON, FL, 34209 |
| Mail Address: | 2902 59TH STREET WEST, SUITE B, BRADENTON, FL, 34209 |
| ZIP code: | 34209 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295251577 | 2017-08-17 | 2017-11-13 | PO BOX 865609, ORLANDO, FL, 328865609, US | 2902 59TH ST W STE FANDG, BRADENTON, FL, 342097023, US | |||||||||||||||||||
|
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| Phone | +1 888-337-3509 |
| Phone | +1 941-792-9685 |
Authorized person
| Name | MANUEL RODRIGUEZ |
| Role | MEDICAL DIRECTOR / OWNER |
| Phone | 9417929685 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | No |
| Name | Role |
|---|---|
| INNOVATIVE PRACTICE STRATEGIES, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ MANUEL E | Authorized Representative | 2902 59TH STREET WEST SUITE B, BRADENTON, FL, 34209 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-02-25 |
| ANNUAL REPORT | 2019-02-25 |
| ANNUAL REPORT | 2018-03-23 |
| Florida Limited Liability | 2017-08-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
