| Entity Name: | AFFILIATED TAMPA ANESTHESIA ASSOCIATES, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 19 Oct 2022 (2 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L22000449372 |
| FEI/EIN Number | 88-4214058 |
| Address: | 38135 MARKET SQUARE, ZEPHYRHILLS, FL 33542 |
| Mail Address: | 38135 MARKET SQUARE, ZEPHYRHILLS, FL 33542 |
| ZIP code: | 33542 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710681895 | 2023-03-30 | 2023-07-06 | PO BOX 737250, DALLAS, TX, 753737520, US | 38135 MARKET SQUARE DR, ZEPHYRHILLS, FL, 335427505, US | |||||||||||||||||||||
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| Phone | +1 877-683-5494 |
| Fax | 4129375707 |
| Phone | +1 813-978-1494 |
Authorized person
| Name | JEFF PERRY |
| Role | MANAGER |
| Phone | 5024184700 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | No |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RAYMOND, PAUL J | Agent | 625 CT ST STE 200, CLEARWATER, FL 33756 |
| Name | Role | Address |
|---|---|---|
| EISNER, MARK | Manager | 38135 MARKET SQUARE, ZEPHYRHILLS, FL 33542 |
| DELATORRE, JOE | Manager | 38135 MARKET SQUARE, ZEPHYRHILLS, FL 33542 |
| Name | Role | Address |
|---|---|---|
| DELATORRE, JOE | Secretary | 38135 MARKET SQUARE, ZEPHYRHILLS, FL 33542 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-07-13 |
| Florida Limited Liability | 2022-10-19 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
