| Entity Name: | WATERSIDE ANESTHESIA SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Apr 2002 (23 years ago) |
| Document Number: | P02000035694 |
| FEI/EIN Number | 020579604 |
| Address: | 2001 NORTH FLAGLER DRIVE, WEST PALM BEACH, FL, 33407 |
| Mail Address: | 2001 NORTH FLAGLER DRIVE, WEST PALM BEACH, FL, 33407 |
| ZIP code: | 33407 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083619829 | 2005-06-17 | 2022-07-21 | 2001 N FLAGLER DR, WEST PALM BEACH, FL, 334076109, US | 2001 N FLAGLER DR, WEST PALM BEACH, FL, 334076109, US | |||||||||||||||||
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| Phone | +1 561-721-8690 |
| Fax | 5617218691 |
Authorized person
| Name | MRS. LISA BOLOGNINI |
| Role | CHIEF OPERATING OFFICER |
| Phone | 5616596632 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KRUMHOLZ STEVEN | Agent | 2001 NORTH FLAGLER DRIVE, WEST PALM BEACH, FL, 33407 |
| Name | Role | Address |
|---|---|---|
| KRUMHOLZ STEVEN | President | 2001 NORTH FLAGLER DRIVE, WEST PALM BEACH, FL, 33407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2011-02-16 | 2001 NORTH FLAGLER DRIVE, WEST PALM BEACH, FL 33407 | No data |
| CHANGE OF MAILING ADDRESS | 2011-02-16 | 2001 NORTH FLAGLER DRIVE, WEST PALM BEACH, FL 33407 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-02-16 | KRUMHOLZ, STEVEN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-16 | 2001 NORTH FLAGLER DRIVE, WEST PALM BEACH, FL 33407 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-03-23 |
| ANNUAL REPORT | 2020-02-28 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-03-19 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-04-06 |
| ANNUAL REPORT | 2015-03-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
