| Entity Name: | SARASOTA PREMIER ANESTHESIA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Mar 2024 (a year ago) |
| Document Number: | L24000108296 |
| Address: | 3414 PEACH TREE ROAD NE SUITE 340, ATLANTA, GA, 30326 |
| Mail Address: | 3414 PEACH TREE ROAD NE SUITE 340, ATLANTA, GA, 30326 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912731407 | 2024-08-28 | 2024-08-28 | PO BOX 738518, DALLAS, TX, 753738518, US | 2830 UNIVERSITY PKWY, SARASOTA, FL, 342432410, US | |||||||||||||||||||
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| Phone | +1 888-717-5383 |
| Phone | +1 513-410-0103 |
Authorized person
| Name | JEFF L PERRY |
| Role | VP RCM |
| Phone | 5024184700 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | No |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| KREGER JAY | Manager | 3414 PEACH TREE ROAD NE SUITE 340, ATLANTA, GA, 30326 |
| HYSTAD SAMANTHA | Manager | 3414 PEACH TREE ROAD NE SUITE 340, ATLANTA, GA, 30326 |
| KHAZANCHI ARUN M.D. | Manager | 3414 PEACH TREE ROAD NE SUITE 340, ATLANTA, GA, 30326 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
