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DELAND ANESTHESIOLOGY GROUP, INC. - Florida Company Profile

Company Details

Entity Name: DELAND ANESTHESIOLOGY GROUP, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

DELAND ANESTHESIOLOGY GROUP, 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: 16 Feb 2005 (20 years ago)
Date of dissolution: 30 Dec 2024 (4 months ago)
Last Event: CORPORATE MERGER
Event Date Filed: 30 Dec 2024 (4 months ago)
Document Number: P05000024570
FEI/EIN Number NOT APPLICABLE

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 851 Trafalgar Court Suite 200E, Maitland, FL, 32751, US
Mail Address: 851 Trafalgar Court Suite 200E, Maitland, FL, 32751, US
ZIP code: 32751
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871531293 2006-06-04 2014-10-27 291 SOUTHHALL LN, SUITE 201, MAITLAND, FL, 327517274, US 701 W PLYMOUTH AVE, DELAND, FL, 327203236, US

Contacts

Phone +1 407-667-0444
Fax 4076674338

Authorized person

Name EDMUNDO DELGADO
Role OFFICER OF DELAND ANESTHESIOLOGY
Phone 4076670444

Taxonomy

Taxonomy Code 207L00000X - Anesthesiology Physician
Is Primary Yes
Taxonomy Code 367500000X - Certified Registered Nurse Anesthetist
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 274046000
State FL
Issuer BCBS
Number 94844
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DELAND ANESTHESIOLOGY GROUP 401(K) PROFIT SHARING PLAN 2012 202428069 2013-07-18 DELAND ANESTHESIOLOGY GROUP, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-03-01
Business code 621111
Sponsor’s telephone number 4076670505
Plan sponsor’s address 291 SOUTHHALL LANE SUITE 201, MAITLAND, FL, 32751

Signature of

Role Plan administrator
Date 2013-07-18
Name of individual signing CARL D. MICHAEL
Valid signature Filed with authorized/valid electronic signature
DELAND ANESTHESIOLOGY GROUP 401(K) PROFIT SHARING PLAN 2011 202428069 2012-07-18 DELAND ANESTHESIOLOGY GROUP, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-03-01
Business code 621111
Sponsor’s telephone number 4076670505
Plan sponsor’s address 291 SOUTHHALL LANE SUITE 201, MAITLAND, FL, 32751

Plan administrator’s name and address

Administrator’s EIN 202428069
Plan administrator’s name DELAND ANESTHESIOLOGY GROUP, INC.
Plan administrator’s address 291 SOUTHHALL LANE SUITE 201, MAITLAND, FL, 32751
Administrator’s telephone number 4076670505

Signature of

Role Plan administrator
Date 2012-07-18
Name of individual signing CARL D. MICHAEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-18
Name of individual signing CARL D. MICHAEL
Valid signature Filed with authorized/valid electronic signature
DELAND ANESTHESIOLOGY GROUP 401(K) PROFIT SHARING PLAN 2010 202428069 2011-07-25 DELAND ANESTHESIOLOGY GROUP, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-03-01
Business code 621111
Sponsor’s telephone number 4076670505
Plan sponsor’s address 291 SOUTHHALL LANE, SUITE 201, MAITLAND, FL, 32751

Plan administrator’s name and address

Administrator’s EIN 202428069
Plan administrator’s name DELAND ANESTHESIOLOGY GROUP, INC.
Plan administrator’s address 291 SOUTHHALL LANE, SUITE 201, MAITLAND, FL, 32751
Administrator’s telephone number 4076670505

Signature of

Role Plan administrator
Date 2011-07-25
Name of individual signing CARL MICHAEL
Valid signature Filed with authorized/valid electronic signature
DELAND ANESTHESIOLOGY GROUP 401(K) PROFIT SHARING PLAN 2009 202428069 2010-09-17 DELAND ANESTHESIOLOGY GROUP, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-03-01
Business code 621111
Sponsor’s telephone number 4076670505
Plan sponsor’s address 291 SOUTHHALL LANE, SUITE 201, MAITLAND, FL, 32751

Plan administrator’s name and address

Administrator’s EIN 202428069
Plan administrator’s name DELAND ANESTHESIOLOGY GROUP, INC.
Plan administrator’s address 291 SOUTHHALL LANE, SUITE 201, MAITLAND, FL, 32751
Administrator’s telephone number 4076670505

Signature of

Role Plan administrator
Date 2010-09-17
Name of individual signing CARL MICHAEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-17
Name of individual signing CARL MICHAEL
Valid signature Filed with authorized/valid electronic signature
DELAND ANESTHESIOLOGY GROUP 401(K) PROFIT SHARING PLAN 2009 202428069 2010-08-03 DELAND ANESTHESIOLOGY GROUP, INC. 7
Three-digit plan number (PN) 001
Effective date of plan 2005-03-01
Business code 621111
Sponsor’s telephone number 4076670505
Plan sponsor’s address 291 SOUTHHALL LANE, SUITE 201, MAITLAND, FL, 32751

Plan administrator’s name and address

Administrator’s EIN 202428069
Plan administrator’s name DELAND ANESTHESIOLOGY GROUP, INC.
Plan administrator’s address 291 SOUTHHALL LANE, SUITE 201, MAITLAND, FL, 32751
Administrator’s telephone number 4076670505

Signature of

Role Plan administrator
Date 2010-08-03
Name of individual signing CARL MICHAEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-03
Name of individual signing CARL MICHAEL
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
WRIGHT LEN President 851 Trafalgar Court Suite 200E, Maitland, FL, 32751
MCBEE TYLER Treasurer 851 Trafalgar Court Suite 200E, Maitland, FL, 32751
SANFORD AMY Secretary 851 Trafalgar Court Suite 200E, Maitland, FL, 32751
CORPORATION SERVICE COMPANY Agent -

Events

Event Type Filed Date Value Description
MERGER 2024-12-30 - CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS P05000061185. MERGER NUMBER 900000263069
CHANGE OF PRINCIPAL ADDRESS 2021-05-19 851 Trafalgar Court Suite 200E, Maitland, FL 32751 -
CHANGE OF MAILING ADDRESS 2021-05-19 851 Trafalgar Court Suite 200E, Maitland, FL 32751 -
AMENDED AND RESTATEDARTICLES 2013-12-31 - -
REGISTERED AGENT NAME CHANGED 2013-12-31 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2013-12-31 1201 HAYS STREET, TALLAHASSEE, FL 32301 -

Documents

Name Date
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-02-24
AMENDED ANNUAL REPORT 2022-06-17
ANNUAL REPORT 2022-03-30
ANNUAL REPORT 2021-05-19
ANNUAL REPORT 2020-02-01
ANNUAL REPORT 2019-02-28
ANNUAL REPORT 2018-04-17
AMENDED ANNUAL REPORT 2017-06-20
ANNUAL REPORT 2017-01-11

Date of last update: 01 Apr 2025

Sources: Florida Department of State