Entity Name: | OCALA REGIONAL MEDICAL CENTER ANESTHESIA, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 31 Aug 2001 (23 years ago) |
Document Number: | P01000087280 |
FEI/EIN Number | 651137820 |
Address: | 1515 E. SILVER SPRINGS BLVD., SUITE 132, OCALA, FL, 34470 |
Mail Address: | 1515 E. SILVER SPRINGS BLVD., SUITE 132, OCALA, FL, 34470 |
ZIP code: | 34470 |
County: | Marion |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1194719575 | 2005-08-31 | 2020-08-22 | PO BOX 1626, OCALA, FL, 344781626, US | 1431 SW 1ST AVE, OCALA, FL, 344744000, US | |||||||||||||||||||||||||
|
Phone | +1 352-873-0516 |
Fax | 3528739726 |
Phone | +1 352-401-1000 |
Authorized person
Name | MR. RICK ROBERTS |
Role | CEO |
Phone | 3528730516 |
Taxonomy
Taxonomy Code | 174400000X - Specialist |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | RR MEDICARE GROUP NUMBER |
Number | CJ5538 |
State | FL |
Name | Role | Address |
---|---|---|
GASSMAN ALAN S | Agent | 1245 COURT STREET, CLEARWATER, FL, 33756 |
Name | Role | Address |
---|---|---|
MECCA DANIEL J | Director | 1515 E. SILVER SPRINGS BLVD., STE. 132, OCALA, FL, 34470 |
TURNER MANUEL E | Director | 1515 E. SILVER SPRINGS BLVD., STE. 132, OCALA, FL, 34470 |
DARLING JAMES W | Director | 1515 E. SILVER SPRINGS BLVD., STE. 132, OCALA, FL, 34470 |
Name | Role | Address |
---|---|---|
MECCA DANIEL J | President | 1515 E. SILVER SPRINGS BLVD., STE. 132, OCALA, FL, 34470 |
Name | Role | Address |
---|---|---|
TURNER MANUEL E | Vice President | 1515 E. SILVER SPRINGS BLVD., STE. 132, OCALA, FL, 34470 |
Name | Role | Address |
---|---|---|
DARLING JAMES W | Secretary | 1515 E. SILVER SPRINGS BLVD., STE. 132, OCALA, FL, 34470 |
Name | Role | Address |
---|---|---|
DARLING JAMES W | Treasurer | 1515 E. SILVER SPRINGS BLVD., STE. 132, OCALA, FL, 34470 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2010-03-30 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State