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FDHS ANESTHESIA, LLC - Florida Company Profile

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Company Details

Entity Name: FDHS ANESTHESIA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

FDHS ANESTHESIA, 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: 23 Oct 2020 (5 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 30 Sep 2022 (3 years ago)
Document Number: L20000337645
FEI/EIN Number 85-3769400

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 3414 PEACHTREE RD NE, STE 340, ATLANTA, GA, 30326, US
Mail Address: 3414 PEACHTREE RD NE, STE 340, ATLANTA, GA, 30326, US
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HYSTAD SAMANTHA Manager 1100 BELLEVUE WAY NE, STE. 8A - #188, BELLEVUE, WA, 98004
KREGER JAY Chief Executive Officer 1100 BELLEVUE WAY NE, BELLEVUE, WA, 98004
BLALOCK WALTERS, P.A. Agent -

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
N613QNN1PH35
UEI Expiration Date:
2026-03-07

Business Information

Activation Date:
2025-03-11
Initial Registration Date:
2025-03-07

National Provider Identifier

NPI Number:
1548952997
Certification Date:
2024-07-30

Authorized Person:

Name:
JEFF PERRY
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
No
Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

Fax:
8666658561

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 2022-09-30 - -
MERGER 2021-05-28 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 300000213713

Documents

Name Date
ANNUAL REPORT 2025-01-31
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-02-01
LC Amendment 2022-09-30
ANNUAL REPORT 2022-02-24
Merger 2021-05-28
ANNUAL REPORT 2021-03-16
Florida Limited Liability 2020-10-23

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Date of last update: 02 Jun 2025

Sources: Florida Department of State