| Entity Name: | CONQUER ANESTHESIA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 May 2023 (2 years ago) |
| Document Number: | L23000257678 |
| FEI/EIN Number | 93-1687588 |
| Address: | 8645 SEACREST DRIVE, VERO BEACH,, FL 32963 |
| Mail Address: | 8645 SEACREST DRIVE, VERO BEACH, FL 32963 |
| ZIP code: | 32963 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871277616 | 2023-06-12 | 2023-06-12 | 8645 SEACREST DR, VERO BEACH, FL, 329639605, US | 8645 SEACREST DR, VERO BEACH, FL, 329639605, US | |||||||||||||
|
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| Phone | +1 772-263-1642 |
Authorized person
| Name | BRETT HAAKE |
| Role | OWNER |
| Phone | 7722631642 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HAAKE, BRETT W | Agent | 8645 SEACREST DRIVE, VERO BEACH, FL 32963 |
| Name | Role | Address |
|---|---|---|
| HAAKE, BRETT W | Manager | 8645 SEACREST DRIVE, VERO BEACH, FL 32963 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| Florida Limited Liability | 2023-05-25 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
