| 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 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114680857 | 2021-10-19 | 2021-10-19 | 4656 CANOPY GROVE DR, WESTLAKE, FL, 334707049, US | 4656 CANOPY GROVE DR, WESTLAKE, FL, 334707049, US | |||||||||||||
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| Phone | +1 216-904-6330 |
Authorized person
| Name | DR. ROBERT LONGF II |
| Role | CEO |
| Phone | 2169046330 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ORTIZ-COFFIE ADRIANA C | Agent | 4656 CANOPY GROVE DR, WESTLAKE, FL, 33470 |
| Name | Role | Address |
|---|---|---|
| LONG ROBERT PII | Chief Executive Officer | 205 WINDSONG DR, RICHMOND HILL, GA, 31324 |
| Name | Role | Address |
|---|---|---|
| ORTIZ-COFFIE ADRIANA C | Chief Operating Officer | 4656 CANOPY GROVE DR, WESTLAKE, FL, 33470 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-19 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-02-21 |
| Florida Limited Liability | 2021-06-04 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
