Entity Name: | EAST WEST ANESTHESIA, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 12 Aug 2022 (2 years ago) |
Document Number: | L22000355529 |
FEI/EIN Number | 88-3794478 |
Address: | 1855 EAST WEST PARKWAY, FLEMING ISLAND, FL, 32003, US |
Mail Address: | 1855 EAST WEST PARKWAY, FLEMING ISLAND, FL, 32003, US |
ZIP code: | 32003 |
County: | Clay |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1194435651 | 2022-11-24 | 2023-01-13 | PO BOX 22562, TAMPA, FL, 336222562, US | 1855 EASTWEST PKWY, FLEMING ISLAND, FL, 320036348, US | |||||||||||||
|
Phone | +1 904-272-2020 |
Authorized person
Name | ERIC KING |
Role | CEO |
Phone | 9042722020 |
Taxonomy
Taxonomy Code | 207L00000X - Anesthesiology Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ERIC KING | Agent | 1855 EAST WEST PARKWAY, FLEMING ISLAND, FL, 32003 |
Name | Role | Address |
---|---|---|
HARRIS, WILCOX & DOOVAN, P.A. | Member | 1855 EAST WEST PARKWAY, FLEMING ISLAND, FL, 32003 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-04 |
ANNUAL REPORT | 2023-04-17 |
Florida Limited Liability | 2022-08-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State