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TALLAHASSEE ANESTHESIOLOGY, P.A. - Florida Company Profile

Company Details

Entity Name: TALLAHASSEE ANESTHESIOLOGY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

TALLAHASSEE ANESTHESIOLOGY, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

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: 07 Apr 2000 (25 years ago)
Document Number: P00000035749
FEI/EIN Number 593646879

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1849 Capital Medical Ct, TALLAHASSEE, FL, 32308, US
Mail Address: BOX 12517, TALLAHASSEE, FL, 32317-2517
ZIP code: 32308
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144241498 2006-07-22 2010-10-05 11460 N MERIDIAN ST, #110, CARMEL, IN, 460324408, US 1300 MICCOSUKEE RD, TALLAHASSEE, FL, 323085054, US

Contacts

Phone +1 317-567-2179
Fax 3175672191

Authorized person

Name MARK MOORE
Role PRESIDENT
Phone 3175672179

Taxonomy

Taxonomy Code 207L00000X - Anesthesiology Physician
License Number ME6504
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 259293200
State FL

Key Officers & Management

Name Role Address
MOORE M President BOX 12517, TALLAHASSEE, FL, 32317
MOORE M Agent 1849 Capital Medical Ct, TALLAHASSEE, FL, 32308

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-05-29 MOORE, M -
CHANGE OF PRINCIPAL ADDRESS 2019-04-24 1849 Capital Medical Ct, TALLAHASSEE, FL 32308 -
REGISTERED AGENT ADDRESS CHANGED 2019-04-24 1849 Capital Medical Ct, TALLAHASSEE, FL 32308 -
CHANGE OF MAILING ADDRESS 2011-04-22 1849 Capital Medical Ct, TALLAHASSEE, FL 32308 -

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-05-29
ANNUAL REPORT 2019-04-24
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-04-30
ANNUAL REPORT 2016-04-06
ANNUAL REPORT 2015-03-27

Date of last update: 03 Mar 2025

Sources: Florida Department of State