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TRISERVICE ANESTHESIA PARTNERS, LLC - Florida Company Profile

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Company Details

Entity Name: TRISERVICE ANESTHESIA PARTNERS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 04 Jun 2021 (4 years ago)
Document Number: L21000260979
FEI/EIN Number 87-2498020
Address: 4656 CANOPY GROVE DR, WESTLAKE, FL, 33470
Mail Address: 4656 CANOPY GROVE DR, WESTLAKE, FL, 33470
ZIP code: 33470
City: Loxahatchee
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
LONG ROBERT PII Chief Executive Officer 205 WINDSONG DR, RICHMOND HILL, GA, 31324
ORTIZ-COFFIE ADRIANA C Chief Operating Officer 4656 CANOPY GROVE DR, WESTLAKE, FL, 33470
ORTIZ-COFFIE ADRIANA C Agent 4656 CANOPY GROVE DR, WESTLAKE, FL, 33470

National Provider Identifier

NPI Number:
1114680857
Certification Date:
2021-10-19

Authorized Person:

Name:
DR. ROBERT LONGF II
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2024-02-19
ANNUAL REPORT 2023-03-10
ANNUAL REPORT 2022-02-21
Florida Limited Liability 2021-06-04

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Date of last update: 03 Aug 2025

Sources: Florida Department of State