| Entity Name: | GASTRO MD ANESTHESIA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Nov 2020 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Feb 2023 (2 years ago) |
| Document Number: | L20000360982 |
| FEI/EIN Number | 85-4068586 |
| Address: | 511 W. BAY STREET, SUITE 400, TAMPA, FL, 33606, US |
| Mail Address: | 511 W. BAY STREET, SUITE 400, TAMPA, FL, 33606, US |
| ZIP code: | 33606 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952989758 | 2021-04-01 | 2021-04-01 | 511 W BAY ST STE 400, TAMPA, FL, 336062700, US | 5016 W CYPRESS ST STE 100, TAMPA, FL, 336073804, US | |||||||||||||||||
|
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| Phone | +1 813-819-0309 |
| Phone | +1 813-542-2586 |
| Fax | 8132811735 |
Authorized person
| Name | CHARLES M. DAVIS |
| Role | CHIEF OPERATING OFFIER |
| Phone | 8134775580 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Hatfield Matthew | Agent | 511 W BAY ST., STE 400, TAMPA, FL, 33606 |
| Name | Role |
|---|---|
| GASTRO MD, LLC | Authorized Member |
| Name | Role | Address |
|---|---|---|
| Doyle Michael | Chief Executive Officer | 511 W. BAY STREET, SUITE 400, TAMPA, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| Davis Charles | Chief Operating Officer | 511 W. BAY STREET, SUITE 400, TAMPA, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| Lingle Brandan | Chief Financial Officer | 511 W. BAY STREET, SUITE 400, TAMPA, FL, 33606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-02-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-02-02 | Hatfield, Matthew | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-02 | 511 W BAY ST., STE 400, TAMPA, FL 33606 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| AMENDED ANNUAL REPORT | 2023-10-02 |
| REINSTATEMENT | 2023-02-02 |
| ANNUAL REPORT | 2021-02-12 |
| Florida Limited Liability | 2020-11-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
