| Entity Name: | GREATER GAINESVILLE ANESTHESIA ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Sep 2022 (2 years ago) |
| Date of dissolution: | 21 Dec 2023 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 21 Dec 2023 (a year ago) |
| Document Number: | L22000403044 |
| FEI/EIN Number | 92-0383672 |
| Address: | 1100 BELLEVUE WAY NE, SUITE 8A, NO. 188, BELLEVUE, WA, 98004, US |
| Mail Address: | 1100 BELLEVUE WAY NE, SUITE 8A, NO. 188, BELLEVUE, WA, 98004, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609593326 | 2022-10-24 | 2024-04-10 | 3414 PEACHTREE RD NE STE 340, ATLANTA, GA, 303261137, US | 208 SW PROSPERITY PL, LAKE CITY, FL, 320240684, US | |||||||||||||||||||||
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| Phone | +1 425-803-3885 |
| Fax | 8666658561 |
| Phone | +1 386-487-3930 |
Authorized person
| Name | JEFF PERRY |
| Role | MANAGER |
| Phone | 5024184700 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | No |
| Name | Role |
|---|---|
| BLALOCK WALTERS, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| THANAWALA RIZWANA M.D. | Manager | 1100 BELLEVUE WAY NE, SUITE 8A, NO. 188, BELLEVUE, WA, 98004 |
| KREGER JAY | Manager | 1100 BELLEVUE WAY NE, SUITE 8A, NO. 188, BELLEVUE, WA, 98004 |
| HYSTAD SAMANTHA | Manager | 1100 BELLEVUE WAY NE, SUITE 8A, NO. 188, BELLEVUE, WA, 98004 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-12-21 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-12-21 |
| ANNUAL REPORT | 2023-04-25 |
| Florida Limited Liability | 2022-09-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
