| Entity Name: | BLUE CLOUD ANESTHESIA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Apr 2022 (3 years ago) |
| Document Number: | M22000006688 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 182 Industrial Road, Glen Rock, PA, 17327, US |
| Mail Address: | 182 Industrial Road, Glen Rock, PA, 17327, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124721816 | 2023-03-23 | 2023-03-23 | 182 INDUSTRIAL RD, GLEN ROCK, PA, 173278626, US | 3700 CENTRAL AVE STE 2, FORT MYERS, FL, 339017649, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 717-759-4375 |
| Phone | +1 239-387-1587 |
Authorized person
| Name | DEVIN LARSEN |
| Role | CEO |
| Phone | 2083401840 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role |
|---|---|
| BLUE CLOUD PEDIATRIC SURGERY CENTERS, LLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-22 | 182 Industrial Road, Glen Rock, PA 17327 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-22 | 182 Industrial Road, Glen Rock, PA 17327 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-03-01 |
| Foreign Limited | 2022-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
