| Entity Name: | AMSURG TAMPA BAY ANESTHESIA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 29 Jun 2011 (14 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 17 May 2017 (8 years ago) |
| Document Number: | M11000003311 |
| FEI/EIN Number |
452609463
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1A BURTON HILLS BLVD, Suite 300, NASHVILLE, TN, 37215, US |
| Mail Address: | 1A BURTON HILLS BLVD, Suite 300, NASHVILLE, TN, 37215, US |
| Place of Formation: | TENNESSEE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780971713 | 2011-06-28 | 2023-01-20 | 1A BURTON HILLS BLVD, ATTN: PROVIDER ENROLLMENT, NASHVILLE, TN, 372156187, US | 4809 N ARMENIA AVE, SUITE 100, TAMPA, FL, 336031447, US | |||||||||||||||||||
|
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| Phone | +1 615-240-3809 |
| Fax | 6152341809 |
| Phone | +1 813-872-9310 |
| Fax | 8138729311 |
Authorized person
| Name | MS. JEAN KOCHENDORDER |
| Role | SR DIRECTOR OF RCM TRANSFORMATION |
| Phone | 6152403795 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Reber Paige | Secretary | 1A BURTON HILLS BLVD, NASHVILLE, TN, 37215 |
| AMSURG HOLDINGS, LLC | Member | - |
| CORPORATION SERVICE COMPANY | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000108480 | TAMPA BAY ANESTHESIA | EXPIRED | 2011-11-07 | 2016-12-31 | - | 20 BURTON HILLS BLVD, SUITE 500, ATTN: L&C, NASHVILLE, TN, 37215 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-23 | 1A BURTON HILLS BLVD, Suite 300, NASHVILLE, TN 37215 | - |
| CHANGE OF MAILING ADDRESS | 2024-04-23 | 1A BURTON HILLS BLVD, Suite 300, NASHVILLE, TN 37215 | - |
| LC STMNT OF RA/RO CHG | 2017-05-17 | - | - |
| REGISTERED AGENT NAME CHANGED | 2017-05-17 | CORPORATION SERVICE COMPANY | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-05-17 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-04 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-03-30 |
| ANNUAL REPORT | 2015-03-31 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
