| Entity Name: | OSCEOLA COUNTY ANESTHESIA ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 Mar 2022 (3 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 01 Aug 2024 (6 months ago) |
| Document Number: | L22000088823 |
| FEI/EIN Number | 88-1065215 |
| Address: | 2642 FAWNLAKE TRAIL, ORLANDO, FL 32828 |
| Mail Address: | 2642 FAWNLAKE TRAIL, ORLANDO, FL 32828 |
| ZIP code: | 32828 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790435048 | 2022-03-28 | 2023-09-12 | 737 W OAK ST STE 201, KISSIMMEE, FL, 347414936, US | 737 W OAK ST STE 201, KISSIMMEE, FL, 347414936, US | |||||||||||||||||||
|
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| Phone | +1 407-384-7388 |
Authorized person
| Name | SRINIVAS SEELA |
| Role | PRESIDENT |
| Phone | 4073847388 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 118287000 |
| State | FL |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| ATIQUZZAMAN, BASHER | Authorized Member | 5418 OSPREY ISLE LN, ORLANDO, FL 32819 |
| SEELA, SRINIVAS | Authorized Member | 2642 FAWNLAKE TRAIL, ORLANDO, FL 32828 |
| SHEELA, HARINATH | Authorized Member | 8859 CYPRESS RESERVE CIR, ORLANDO, FL 32838 |
| KOLA, MOIN | Authorized Member | 11646 WATERSTONE LOOP DRIVE, WINDERMERE, FL 34786 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-08-01 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-01 | 2642 FAWNLAKE TRAIL, ORLANDO, FL 32828 | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-01 | 2642 FAWNLAKE TRAIL, ORLANDO, FL 32828 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-08-01 | REGISTERED AGENTS INC. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| LC AMENDMENT | 2022-06-29 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-08-01 |
| LC Amendment | 2022-06-29 |
| Florida Limited Liability | 2022-03-03 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
