| Entity Name: | METRO ORLANDO ANESTHESIA ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
METRO ORLANDO ANESTHESIA ASSOCIATES, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 29 Jan 2020 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 19 Sep 2022 (2 years ago) |
| Document Number: | L20000028010 |
| FEI/EIN Number |
84-4554083
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1100 BELLEVUE WAY NE, STE 8A #188, BELLEVUE, WA, 98004, US |
| Mail Address: | 1100 BELLEVUE WAY NE, STE 8A #188, BELLEVUE, WA, 98004, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558981712 | 2020-04-17 | 2024-09-06 | PO BOX 735178, DALLAS, TX, 753735006, US | 4901 VINELAND RD STE 150, ORLANDO, FL, 328117190, US | |||||||||||||||||||||
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| Phone | +1 888-851-4642 |
| Fax | 8666658561 |
| Phone | +1 470-370-3272 |
Authorized person
| Name | JEFF PERRY |
| Role | VP REV CYCLE MANAGEMENT |
| Phone | 5024184700 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | No |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BLALOCK WALTER, P.A. | Agent | 2 N. MIAMI TRAIL, STE. 400, SARASOTA, FL, 34236 |
| POTHAMSETTY SRIKIRAN | Manager | 8625 SPINDLETOP DR., ORLANDO, FL, 32819 |
| HYSTAD SAMANTHA | Manager | 1100 BELLEVUE WAY NE, BELLEVUE, WA, 98004 |
| KREGER JAY | Chief Executive Officer | 1100 BELLEVUE WAY NE, BELLEVUE, WA, 98004 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-31 | 3414 PEACHTREE RD NE, STE 340, ATLANTA, GA 30326 | - |
| CHANGE OF MAILING ADDRESS | 2025-01-31 | 3414 PEACHTREE RD NE, STE 340, ATLANTA, GA 30326 | - |
| LC AMENDMENT | 2022-09-19 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-24 | 1100 BELLEVUE WAY NE, STE 8A #188, BELLEVUE, WA 98004 | - |
| CHANGE OF MAILING ADDRESS | 2022-02-24 | 1100 BELLEVUE WAY NE, STE 8A #188, BELLEVUE, WA 98004 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-31 |
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-02-24 |
| ANNUAL REPORT | 2021-03-16 |
| Florida Limited Liability | 2020-01-29 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
