| Entity Name: | WEST COAST ANESTHESIA PROVIDERS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Jun 2018 (7 years ago) |
| Document Number: | L18000146181 |
| FEI/EIN Number | 83-0909832 |
| Address: | 4519 US HIGHWAY 19, NEW PORT RICHEY, FL 34652 |
| Mail Address: | 4519 US HIGHWAY 19, NEW PORT RICHEY, FL 34652 |
| ZIP code: | 34652 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184104069 | 2018-08-20 | 2018-08-20 | 4519 US HIGHWAY 19, NEW PORT RICHEY, FL, 346524923, US | 4519 US HIGHWAY 19, NEW PORT RICHEY, FL, 346524923, US | |||||||||||||||
|
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| Phone | +1 727-264-8856 |
| Fax | 7278531855 |
Authorized person
| Name | EFFIE BAZAKOS |
| Role | BILLING MANAGER |
| Phone | 7272648856 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Rowan, Pamela | Agent | 4519 US HIGHWAY 19, NEW PORT RICHEY, FL 34652 |
| Name | Role | Address |
|---|---|---|
| ROWAN, PAMELA | Manager | 4519 US HIGHWAY 19, NEW PORT RICHEY, FL 34652 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-04-08 | Rowan, Pamela | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-08 | 4519 US HIGHWAY 19, NEW PORT RICHEY, FL 34652 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-03-17 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-05-20 |
| ANNUAL REPORT | 2019-03-08 |
| Florida Limited Liability | 2018-06-14 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
