| Entity Name: | DRN ANESTHESIA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Jun 2021 (4 years ago) |
| Document Number: | L21000290814 |
| FEI/EIN Number | 871670000 |
| Address: | 1814 WOODPOINTE DRIVE, WINTER HAVEN, FL, 33884, US |
| Mail Address: | 1814 WOODPOINTE DRIVE, WINTER HAVEN, FL, 33884, US |
| ZIP code: | 33884 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023782216 | 2021-08-03 | 2021-08-06 | 1814 WOODPOINTE DR, WINTER HAVEN, FL, 338842875, US | 818 GRIFFIN RD, LAKELAND, FL, 338052440, US | |||||||||||||
|
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| Phone | +1 863-687-0566 |
Authorized person
| Name | DONALD R NETTLOW JR. |
| Role | MANAGING MEMBER |
| Phone | 8632891209 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NETTLOW DONALD RJR. | Agent | 1814 WOODPOINTE DRIVE, WINTER HAVEN, FL, 33884 |
| Name | Role | Address |
|---|---|---|
| NETTLOW AUDREY | Manager | 1814 WOODPOINTE DRIVE, WINTER HAVEN, FL, 33884 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-02-23 |
| Florida Limited Liability | 2021-06-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
