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CONTRACT ANESTHESIA SERVICES P.A. - Florida Company Profile

Company Details

Entity Name: CONTRACT ANESTHESIA SERVICES P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

CONTRACT ANESTHESIA SERVICES P.A. 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: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 26 Apr 2005 (20 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 19 Jan 2007 (18 years ago)
Document Number: P05000061389
FEI/EIN Number 202795189

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

Address: 4737 Dolphin Cay Lane, St Pete, FL, 33711, US
Mail Address: 4737 Dolphin Cay Lane, St Pete, FL, 33711, US
ZIP code: 33711
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790975167 2007-07-31 2008-04-20 6698 29TH ST S, ST PETERSBURG, FL, 337125514, US 2821 PROCTOR RD, SARASOTA, FL, 342316443, US

Contacts

Phone +1 727-698-3579
Fax 7273749146
Phone +1 941-870-1872
Fax 9418701879

Authorized person

Name MR. VAN DALE BELL
Role PRESIDENT
Phone 7276983579

Taxonomy

Taxonomy Code 367500000X - Certified Registered Nurse Anesthetist
License Number ARNP1360592
State FL
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS BLUE SHIELD
Number G2757
State FL

Key Officers & Management

Name Role Address
BELL VAN D President 4737 Dolphin Cay Lane, St Pete, FL, 33711
BELL VAN D Vice President 4737 Dolphin Cay Lane, St Pete, FL, 33711
BELL VAN D Treasurer 4737 Dolphin Cay Lane, St Pete, FL, 33711
BELL VAN D Secretary 4737 Dolphin Cay Lane, St Pete, FL, 33711
BELL VAN Agent 4737 Dolphin Cay Lane, St Pete, FL, 33711

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-01-18 4737 Dolphin Cay Lane, #508, St Pete, FL 33711 -
CHANGE OF MAILING ADDRESS 2020-01-18 4737 Dolphin Cay Lane, #508, St Pete, FL 33711 -
REGISTERED AGENT ADDRESS CHANGED 2020-01-18 4737 Dolphin Cay Lane, #508, St Pete, FL 33711 -
CANCEL ADM DISS/REV 2007-01-19 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 - -
REGISTERED AGENT NAME CHANGED 2006-07-17 BELL, VAN -

Documents

Name Date
ANNUAL REPORT 2025-01-25
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-01-18
ANNUAL REPORT 2019-01-28
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-08
ANNUAL REPORT 2016-03-07

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4580738001 2020-06-26 0455 PPP 4737 Dolphin Cay Ln S., Apt 508, SAINT PETERSBURG, FL, 33711-4655
Loan Status Date 2021-06-24
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 20832
Loan Approval Amount (current) 20832
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address SAINT PETERSBURG, PINELLAS, FL, 33711-4655
Project Congressional District FL-13
Number of Employees 1
NAICS code 621493
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 21004.96
Forgiveness Paid Date 2021-05-03
5902178509 2021-03-02 0455 PPS 4737 Dolphin Cay Ln S Apt 508 Apt 508, Saint Petersburg, FL, 33711-4672
Loan Status Date 2021-11-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 25000
Loan Approval Amount (current) 25000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Saint Petersburg, PINELLAS, FL, 33711-4672
Project Congressional District FL-13
Number of Employees 1
NAICS code 621493
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 25158.57
Forgiveness Paid Date 2021-10-25

Date of last update: 03 Apr 2025

Sources: Florida Department of State