| Entity Name: | MSC ANESTHESIA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Nov 2004 (20 years ago) |
| Document Number: | P04000159352 |
| FEI/EIN Number | 201940814 |
| Address: | 1A Burton Hills Boulevard, Suite 300, Nashville, TN, 37215, US |
| Mail Address: | 1A Burton Hills Boulevard, Suite 300, Nashville, TN, 37215, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073504346 | 2005-11-04 | 2011-10-06 | 601 MANATEE AVE W, BRADENTON, FL, 342058610, US | 601 MANATEE AVE W, BRADENTON, FL, 342058610, US | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 941-745-2727 |
| Fax | 9417452112 |
Authorized person
| Name | DANA J WEINKLE |
| Role | PRESIDENT |
| Phone | 9417942020 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| License Number | HCC4600 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| License Number | HCC4600 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BC/BS |
| Number | 74974 |
| State | FL |
| Issuer | US DEPARTMENT OF LABOR |
| Number | 61009100 |
| Issuer | AETNA |
| Number | 7462656 |
| Issuer | RAILROAD MEDICARE |
| Number | DC7796 |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| SNODGRASS JEFF | President | 1A Burton Hills Boulevard, Nashville, TN, 37215 |
| Name | Role | Address |
|---|---|---|
| Reber Paige | Secretary | 1A Burton Hills Boulevard, Nashville, TN, 37215 |
| Name | Role | Address |
|---|---|---|
| Belmont Sarah | Treasurer | 1A Burton Hills Boulevard, Nashville, TN, 37215 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-23 | 1A Burton Hills Boulevard, Suite 300, Nashville, TN 37215 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-23 | 1A Burton Hills Boulevard, Suite 300, Nashville, TN 37215 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-05-17 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-05-17 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-27 |
| AMENDED ANNUAL REPORT | 2017-06-30 |
| Reg. Agent Change | 2017-05-17 |
| ANNUAL REPORT | 2017-04-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
