| Entity Name: | DLT ANESTHESIA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Feb 2022 (3 years ago) |
| Document Number: | L22000085049 |
| FEI/EIN Number | 88-1000775 |
| Address: | 3008 CORTONA DRIVE, MELBOURNE, FL, 32940, US |
| Mail Address: | 3008 CORTONA DRIVE, MELBOURNE, FL, 32940, US |
| ZIP code: | 32940 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891414801 | 2022-08-23 | 2022-09-16 | PO BOX 661495, BIRMINGHAM, AL, 352661495, US | 814 S WASHINGTON AVE, TITUSVILLE, FL, 327804262, US | |||||||||||||||||||
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| Phone | +1 205-979-5882 |
| Fax | 2059791248 |
| Phone | +1 321-567-6300 |
| Fax | 3215676320 |
Authorized person
| Name | DARRYL TRUNDLE |
| Role | OWNER |
| Phone | 4234212990 |
Taxonomy
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TRUNDLE DARRYL | Agent | 3008 CORTONA DRIVE, MELBOURNE, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| TRUNDLE DARRYL L | Authorized Member | 3008 CORTONA DRIVE, MELBOURNE, FL, 32940 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-03-01 |
| Florida Limited Liability | 2022-02-22 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
