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 | |||||||||||||||||||||
|
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