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GULFCOAST ANESTHETIST SPECIALISTS, P.A.

Company Details

Entity Name: GULFCOAST ANESTHETIST SPECIALISTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 Jan 2004 (21 years ago)
Document Number: P04000007613
FEI/EIN Number 200610698
Address: 210 Montana Ave, Nokomis, FL, 34275, US
Mail Address: 210 Montana Ave, Nokomis, FL, 34275, US
ZIP code: 34275
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134467863 2013-01-31 2013-02-26 1954 OREGON TRL, #4, ENGLEWOOD, FL, 342245487, US 1954 OREGON TRL, #4, ENGLEWOOD, FL, 342245487, US

Contacts

Phone +1 941-223-1338
Fax 9419664978

Authorized person

Name SUSAN LUISETTE DUPREE
Role PRESIDENT
Phone 9412231338

Taxonomy

Taxonomy Code 367500000X - Certified Registered Nurse Anesthetist
Is Primary Yes

Agent

Name Role Address
DUPREE SUSAN Agent 210 MONTANA AVE, NOKOMIS, FL, 34275

Director

Name Role Address
DUPREE SUSAN Director 210 MONTANA AVE, NOKOMIS, FL, 34275

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000102035 ACCELLERATED AESTHETICS ACTIVE 2024-08-27 2029-12-31 No data 210 A MONTANA AVE, NOKOMIS, FL, 34275

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-02-08 210 Montana Ave, Nokomis, FL 34275 No data
CHANGE OF MAILING ADDRESS 2022-02-08 210 Montana Ave, Nokomis, FL 34275 No data

Documents

Name Date
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-04-08
ANNUAL REPORT 2022-02-08
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-18
ANNUAL REPORT 2018-04-08
ANNUAL REPORT 2017-01-13
ANNUAL REPORT 2016-03-22
ANNUAL REPORT 2015-01-27

Date of last update: 01 Feb 2025

Sources: Florida Department of State