| Entity Name: | PEDSED ANESTHESIA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Mar 2024 (a year ago) |
| Document Number: | L24000129137 |
| Address: | 4416 W. AZEELE ST, TAMPA, FL 33609 |
| Mail Address: | 4416 W. AZEELE ST, TAMPA, FL 33609 |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083466627 | 2024-04-05 | 2024-04-05 | 4416 W AZEELE ST, TAMPA, FL, 336092613, US | 4416 W AZEELE ST, TAMPA, FL, 336092613, US | |||||||||||||
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| Phone | +1 813-777-7177 |
Authorized person
| Name | DR. HECTOR VILA JR. |
| Role | PRESIDENT |
| Phone | 8137777177 |
Taxonomy
| Taxonomy Code | 207LP3000X - Pediatric Anesthesiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RUGG, JOSEPH | Agent | 400 NORTH ASHLEY DRIVE STE 3100, TAMPA, FL 33602 |
| Name | Role | Address |
|---|---|---|
| VILA, JR., HECTOR | Authorized Member | 4416 W. AZEELE ST, TAMPA, FL 33609 |
| Name | Role | Address |
|---|---|---|
| VILA, JR., HECTOR | President | 4416 W. AZEELE ST, TAMPA, FL 33609 |
| Name | Role | Address |
|---|---|---|
| VILA, JR., HECTOR | Secretary | 4416 W. AZEELE ST, TAMPA, FL 33609 |
| Name | Role | Address |
|---|---|---|
| VILA, JR., HECTOR | Treasurer | 4416 W. AZEELE ST, TAMPA, FL 33609 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-19 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
