| Entity Name: | SAFE HARBOR ANESTHESIA PRACTICE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Aug 2000 (24 years ago) |
| Document Number: | P00000079894 |
| FEI/EIN Number | 593664159 |
| Address: | 1471 Marinella Dr., PALM HARBR, FL, 34683, US |
| Mail Address: | 1471 Marinella Dr., PALM HARBR, FL, 34683, US |
| ZIP code: | 34683 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285738864 | 2006-09-12 | 2007-10-23 | 14003 LAKESHORE BLVD, HUDSON, FL, 346677124, US | 14003 LAKESHORE BLVD, HUDSON, FL, 346677124, US | |||||||||||||||||||||
|
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| Phone | +1 727-868-9442 |
| Fax | 7278626210 |
Authorized person
| Name | VICTORIA COYNE |
| Role | PRESIDENT |
| Phone | 7278689442 |
Taxonomy
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RR MEDICARE |
| Number | CJ8886 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BAYER DIANNE Y | Agent | 1471 Marinella Dr., PALM HARBR, FL, 34683 |
| Name | Role | Address |
|---|---|---|
| BAYER DIANNE Y | President | 1471 Marinella Dr., PALM HARBR, FL, 34683 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-18 | 1471 Marinella Dr., PALM HARBR, FL 34683 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-18 | 1471 Marinella Dr., PALM HARBR, FL 34683 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-18 | BAYER, DIANNE Y | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-18 | 1471 Marinella Dr., PALM HARBR, FL 34683 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-04-16 |
| ANNUAL REPORT | 2022-07-29 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-01-22 |
| Reg. Agent Change | 2017-10-02 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-02-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
