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METRO ORLANDO ANESTHESIA ASSOCIATES, LLC - Florida Company Profile

Company Details

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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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

National Provider Identifier

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

Contacts

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

Key Officers & Management

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

Events

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 -

Documents

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