| Entity Name: | GRACE ANESTHESIA SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Sep 2023 (a year ago) |
| Document Number: | L23000421394 |
| FEI/EIN Number | 93-3504954 |
| Address: | 750 S.W. 63RD STREET ROAD, OCALA, FL 34471 |
| Mail Address: | 750 S.W. 63RD STREET ROAD, OCALA, FL 34471 |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770363368 | 2023-10-02 | 2023-10-03 | 2301 SE 3RD AVE STE 200, OCALA, FL, 344715105, US | 2301 SE 3RD AVE STE 200, OCALA, FL, 344715105, US | |||||||||||||
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| Phone | +1 352-351-0029 |
Authorized person
| Name | JOY WALLEN |
| Role | MANAGER |
| Phone | 3523510029 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JO, PAUL D | Agent | 750 S.W. 63RD STREET ROAD, OCALA, FL 34471 |
| Name | Role | Address |
|---|---|---|
| JO, PAUL D | Manager | 750 S.W. 63RD STREET ROAD, OCALA, FL 34471 |
| JO, MARIE S | Manager | 750 S.W. 63RD STREET ROAD, OCALA, FL 34471 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-26 |
| Florida Limited Liability | 2023-09-11 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
