| Entity Name: | CONTRACT ANESTHESIA SERVICES P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| 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 |
| 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 |
| 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 | |||||||||||||||||||||||||||||
|
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| 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 |
| Name | Role | Address |
|---|---|---|
| BELL VAN | Agent | 4737 Dolphin Cay Lane, St Pete, FL, 33711 |
| Name | Role | Address |
|---|---|---|
| BELL VAN D | President | 4737 Dolphin Cay Lane, St Pete, FL, 33711 |
| Name | Role | Address |
|---|---|---|
| BELL VAN D | Vice President | 4737 Dolphin Cay Lane, St Pete, FL, 33711 |
| Name | Role | Address |
|---|---|---|
| BELL VAN D | Treasurer | 4737 Dolphin Cay Lane, St Pete, FL, 33711 |
| Name | Role | Address |
|---|---|---|
| BELL VAN D | Secretary | 4737 Dolphin Cay Lane, St Pete, FL, 33711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-18 | 4737 Dolphin Cay Lane, #508, St Pete, FL 33711 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-18 | 4737 Dolphin Cay Lane, #508, St Pete, FL 33711 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-18 | 4737 Dolphin Cay Lane, #508, St Pete, FL 33711 | No data |
| CANCEL ADM DISS/REV | 2007-01-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2006-07-17 | BELL, VAN | No data |
| 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 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
