| Entity Name: | WHITE SANDS ANESTHESIA & PAIN MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
WHITE SANDS ANESTHESIA & PAIN MEDICINE, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 14 Dec 2004 (20 years ago) |
| Date of dissolution: | 03 Jan 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 03 Jan 2022 (3 years ago) |
| Document Number: | P04000167826 |
| FEI/EIN Number |
202214491
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2338 STATE AVENUE, PANAMA CITY, FL, 32405 |
| Mail Address: | P.O. BOX 1968, PANAMA CITY, FL, 32402 |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730100488 | 2006-07-21 | 2012-12-05 | PO BOX 1968, PANAMA CITY, FL, 324021968, US | 2338 STATE AVE, PANAMA CITY, FL, 324054361, US | |||||||||||||||||||||||||
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| Phone | +1 850-872-0303 |
| Fax | 8508720305 |
Authorized person
| Name | DR. KEITH M ZWINGELBERG |
| Role | PRESIDENT |
| Phone | 8508720303 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| License Number | ME36522 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS FL |
| Number | 03579A |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WHITE SANDS ANESTHESIA & PAIN MEDICINE INC CASH BALANCE | 2018 | 202214491 | 2019-10-09 | WHITE SANDS ANESTHESIA & PAIN MEDICINE INC | 4 | |||||||||||||
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| WHITE SANDS ANESTHESIA & PAIN MEDICINE INC CASH BALANCE | 2017 | 202214491 | 2019-02-19 | WHITE SANDS ANESTHESIA & PAIN MEDICINE INC | 4 | |||||||||||||
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| WHITE SANDS ANESTHESIA & PAIN MEDICINE INC CASH BALANCE | 2016 | 202214491 | 2017-10-11 | WHITE SANDS ANESTHESIA & PAIN MEDICINE INC | 4 | |||||||||||||
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| WHITE SANDS ANESTHESIA & PAIN MEDICINE INC CASH BALANCE | 2015 | 202214491 | 2016-10-07 | WHITE SANDS ANESTHESIA & PAIN MEDICINE INC | 4 | |||||||||||||
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| WHITE SANDS ANESTHESIA & PAIN MEDICINE INC CASH BALANCE | 2014 | 202214491 | 2015-04-23 | WHITE SANDS ANESTHESIA & PAIN MEDICINE INC | 4 | |||||||||||||
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| WHITE SANDS ANESTHESIA & PAIN MEDICINE INC CASH BALANCE | 2013 | 202214491 | 2014-07-28 | WHITE SANDS ANESTHESIA & PAIN MEDICINE INC | 0 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| ZWINGELBERG KEITH M | President | 2338 STATE AVENUE, PANAMA CITY, FL, 32405 |
| ZWINGELBERG KEITH M | Vice President | 2338 STATE AVENUE, PANAMA CITY, FL, 32405 |
| ZWINGELBERG KEITH M | Treasurer | 2338 STATE AVENUE, PANAMA CITY, FL, 32405 |
| Bancroft Cassidy H | Agent | 2338 STATE AVE, PANAMA CITY, FL, 32405 |
| ZWINGELBERG KEITH M | Secretary | 2338 STATE AVENUE, PANAMA CITY, FL, 32405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-01-03 | - | - |
| REGISTERED AGENT NAME CHANGED | 2013-04-30 | Bancroft, Cassidy H | - |
| REINSTATEMENT | 2012-11-09 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-30 | 2338 STATE AVE, PANAMA CITY, FL 32405 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-01-03 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-02-08 |
| ANNUAL REPORT | 2017-02-28 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-01-22 |
| ANNUAL REPORT | 2014-03-26 |
| ANNUAL REPORT | 2013-04-30 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3875087101 | 2020-04-12 | 0491 | PPP | 2338 STATE AVE, PANAMA CITY, FL, 32405-4361 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
