| Entity Name: | CENTURION ANESTHESIA - FL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Mar 2022 (3 years ago) |
| Document Number: | L22000149906 |
| FEI/EIN Number | 88-1695985 |
| Address: | 811 WILSON STREET, VALLEY STREAM, NY 11581 |
| Mail Address: | 811 WILSON STREET, VALLEY STREAM, NY 11581 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700528346 | 2022-04-13 | 2024-04-18 | 3800 JOHNSON ST STE D, HOLLYWOOD, FL, 330216052, US | 3800 JOHNSON ST STE D, HOLLYWOOD, FL, 330216052, US | |||||||||||||
|
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| Phone | +1 718-550-8600 |
Authorized person
| Name | AVISHAI NEUMAN |
| Role | MD |
| Phone | 7185508600 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| NEUMAN, AVISHAI T, M.D. | Manager | 811 WILSON STREET, VALLEY STREAM, NY 11581 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000149706 | CENTURION ANESTHESIA | ACTIVE | 2022-12-06 | 2027-12-31 | No data | 811 WILSON STREET, VALLEY STREAM, NY, 11581 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-01-25 |
| Florida Limited Liability | 2022-03-28 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
