| Entity Name: | PALM BEACH ANESTHESIA PARTNERS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 Jul 2001 (24 years ago) |
| Date of dissolution: | 26 Sep 2008 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (16 years ago) |
| Document Number: | P01000073797 |
| FEI/EIN Number | 651125584 |
| Address: | 4360 NORTHLAKE BLVD., STE. 212, PALM BEACH GARDENS, FL, 33410 |
| Mail Address: | TEAM HEALTH ANESTHESIA MGMT.SER., 4360 NORTHLAKE BLVD., SUITE 212, PALM BEACH GARDENS, FL, 33410 |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194747766 | 2006-07-24 | 2020-08-22 | 3626 RUFFIN RD, SAN DIEGO, CA, 921231810, US | 13001 SOUTHERN BLVD, LOXAHATCHEE, FL, 334709277, US | |||||||||||||||||||||||
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| Phone | +1 561-798-3300 |
Authorized person
| Name | DR. ROBERT A STIEFEL |
| Role | PRESIDENT |
| Phone | 5616267171 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | No |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BS FL |
| Number | 38391 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| COEL MARK A | Agent | ONE LINCOLN PLACE, BOCA RATON, FL, 334310000 |
| Name | Role | Address |
|---|---|---|
| GOLDFINGER DAVID M | President | 4360 NORTHLAKE BLVD., STE. 212, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| GOLDFINGER DAVID M | Director | 4360 NORTHLAKE BLVD., STE. 212, PALM BEACH GARDENS, FL, 33410 |
| KUCHIAK ANDRES M | Director | 4360 NORTHLAKE BLVD., STE. 212, PALM BEACH GARDENS, FL, 33410 |
| MARTINEZ RICARDO L | Director | 4360 NORTHLAKE BLVD., STE. 212, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| KUCHIAK ANDRES M | Vice President | 4360 NORTHLAKE BLVD., STE. 212, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ RICARDO L | Secretary | 4360 NORTHLAKE BLVD., STE. 212, PALM BEACH GARDENS, FL, 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-03-06 | 4360 NORTHLAKE BLVD., STE. 212, PALM BEACH GARDENS, FL 33410 | No data |
| CHANGE OF MAILING ADDRESS | 2007-03-06 | 4360 NORTHLAKE BLVD., STE. 212, PALM BEACH GARDENS, FL 33410 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-09-16 | ONE LINCOLN PLACE, 1900 GLADES ROAD,SUITE 350, BOCA RATON, FL 33431-0000 | No data |
| NAME CHANGE AMENDMENT | 2001-12-20 | PALM BEACH ANESTHESIA PARTNERS, INC. | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12001014359 | LAPSED | 1000000428162 | OKEECHOBEE | 2012-12-07 | 2022-12-14 | $ 541.80 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, FORT PIERCE SERVICE CENTER, 337 N US HIGHWAY 1 STE 207-B, FORT PIERCE FL349504255 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2007-03-06 |
| ANNUAL REPORT | 2006-03-06 |
| ANNUAL REPORT | 2005-04-28 |
| ANNUAL REPORT | 2004-04-19 |
| ANNUAL REPORT | 2003-04-28 |
| ANNUAL REPORT | 2002-11-04 |
| Name Change | 2001-12-20 |
| Domestic Profit | 2001-07-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
