| Entity Name: | INTREPID ANESTHESIA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Sep 2021 (3 years ago) |
| Document Number: | L21000418920 |
| FEI/EIN Number | 87-2801718 |
| Address: | 200 3RD AVENUE WEST #170, BRADENTON, FL, 34205 |
| Mail Address: | 15002 FISHHAWK PRESERVE DRIVE, LITHIA, FL, 33547 |
| ZIP code: | 34205 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104561299 | 2022-05-03 | 2022-05-26 | 3220 N ST NW STE 152, WASHINGTON, DC, 200072829, US | 200 3RD AVE W STE 170, BRADENTON, FL, 342058632, US | |||||||||||||
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| Phone | +1 888-851-4642 |
Authorized person
| Name | LAURA ADKINS |
| Role | EXECUTIVE VP OF OPERATIONS |
| Phone | 8284240869 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CROSS STREET CORPORATE SERVICES, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| UHURU SMITH,M.D. | Manager | 15002 FISHHAWK PRESERVE DRIVE, LITHIA, FL, 33547 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-03-01 | 200 3RD AVENUE WEST #170, BRADENTON, FL 34205 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-01 | 200 3RD AVENUE WEST #170, BRADENTON, FL 34205 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-10-30 | 50 CENTRAL AVENUE,, 8TH FLOOR,, SARASOTA, FL 34236 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-20 |
| ANNUAL REPORT | 2023-03-23 |
| ANNUAL REPORT | 2022-07-22 |
| Florida Limited Liability | 2021-09-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
