| Entity Name: | KATHRYN M. BURGESS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 04 Oct 2005 (19 years ago) |
| Document Number: | P05000135893 |
| FEI/EIN Number | 20-3568371 |
| Address: | 4625 SW 13TH AVE, CAPE CORAL, FL 33914 |
| Mail Address: | 4625 SW 13TH AVE, CAPE CORAL, FL 33914 |
| ZIP code: | 33914 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629189725 | 2006-08-31 | 2010-11-14 | 4625 SW 13TH AVE, CAPE CORAL, FL, 339146330, US | 4625 SW 13TH AVE, CAPE CORAL, FL, 339146330, US | |||||||||||||||||
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| Phone | +1 239-770-2820 |
Authorized person
| Name | MISS KATHRYN M. BURGESS |
| Role | CERTIFIED REGISTERED NURSE ANESTHET |
| Phone | 2397702820 |
Taxonomy
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| License Number | ARNP9162812 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHOUINARD, JAMES ACPA | Agent | 12610 WORLD PLAZA LANE 61-2, FORT MYERS, FL 33907 |
| Name | Role | Address |
|---|---|---|
| BURGESS, KATHRYN M | President | 4625 SW 13TH AVE, CAPE CORAL, FL 33914 |
| Name | Role | Address |
|---|---|---|
| BURGESS, KATHRYN M | Director | 4625 SW 13TH AVE, CAPE CORAL, FL 33914 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-28 | 12610 WORLD PLAZA LANE 61-2, FORT MYERS, FL 33907 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-16 |
| ANNUAL REPORT | 2020-06-23 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-03-28 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
