| Entity Name: | NORTHERN FLORIDA ANESTHESIA SERVICES, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Jul 2018 (7 years ago) |
| Document Number: | L18000165926 |
| FEI/EIN Number | 83-1182513 |
| Address: | 4796 HODGES BOULEVARD, JACKSONVILLE, FL, 32224 |
| Mail Address: | 4796 HODGES BOULEVARD, JACKSONVILLE, FL, 32224 |
| ZIP code: | 32224 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033691050 | 2018-09-06 | 2022-03-24 | PO BOX 734833, DALLAS, TX, 753734833, US | 4796 HODGES BLVD STE 101, JACKSONVILLE, FL, 322242209, US | |||||||||||||||||||
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| Phone | +1 205-979-5882 |
| Fax | 2059791248 |
| Phone | +1 904-800-7246 |
| Fax | 9047197571 |
Authorized person
| Name | JERRY R FOLTZ |
| Role | OWNER |
| Phone | 9048007246 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FOLTZ JERRY RICHARD M.D. | Agent | 4796 HODGES BOULEVARD, JACKSONVILLE, FL, 32224 |
| Name | Role | Address |
|---|---|---|
| Foltz Jerry R | Mgrm | 4796 HODGES BOULEVARD, JACKSONVILLE, FL, 32224 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-02-06 |
| ANNUAL REPORT | 2020-04-29 |
| ANNUAL REPORT | 2019-04-21 |
| Florida Limited Liability | 2018-07-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
