| Entity Name: | MELBOURNE ANESTHESIA, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Feb 2006 (19 years ago) |
| Date of dissolution: | 07 Apr 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 07 Apr 2015 (10 years ago) |
| Document Number: | P06000020965 |
| FEI/EIN Number | 204301595 |
| Address: | 10830 S. TROPICAL TRAIL, MERRITT ISLAND, FL, 32952-7013, US |
| Mail Address: | 10830 S. TROPICAL TRAIL, MERRITT ISLAND, FL, 32952-7013, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184648792 | 2006-07-27 | 2020-08-22 | 10830 S TROPICAL TRL, MERRITT ISLAND, FL, 329527013, US | 1340 MEDICAL PARK DR, SUITE 101, MELBOURNE, FL, 329013246, US | |||||||||||||||||
|
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| Phone | +1 321-729-9493 |
Authorized person
| Name | DR. ERIC H KATZ |
| Role | MEDICAL DIRECTOR |
| Phone | 3217299493 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| License Number | ME 58208 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KATZ ERIC H | Agent | 10830 S. TROPICAL TRAIL, MERRITT ISLAND, FL, 329527013 |
| Name | Role | Address |
|---|---|---|
| KATZ ERIC H | President | 10830 S. TROPICAL TRAIL, MERRITT ISLAND, FL, 329527013 |
| Name | Role | Address |
|---|---|---|
| KATZ BARBARA D | Secretary | 10830 S. TROPICAL TRAIL, MERRITT ISLAND, FL, 329527013 |
| Name | Role | Address |
|---|---|---|
| KATZ BARBARA D | Treasurer | 10830 S. TROPICAL TRAIL, MERRITT ISLAND, FL, 329527013 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-04-07 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-19 | 10830 S. TROPICAL TRAIL, MERRITT ISLAND, FL 32952-7013 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-19 | 10830 S. TROPICAL TRAIL, MERRITT ISLAND, FL 32952-7013 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-02-11 | KATZ, ERIC HM.D. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-02-11 | 10830 S. TROPICAL TRAIL, MERRITT ISLAND, FL 32952-7013 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2015-04-07 |
| ANNUAL REPORT | 2014-02-21 |
| ANNUAL REPORT | 2013-01-27 |
| ANNUAL REPORT | 2012-01-29 |
| ANNUAL REPORT | 2011-01-16 |
| ANNUAL REPORT | 2010-01-20 |
| ANNUAL REPORT | 2009-04-19 |
| ANNUAL REPORT | 2008-02-10 |
| ANNUAL REPORT | 2007-02-11 |
| Domestic Profit | 2006-02-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
