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PBG TEAM ANESTHESIA, P.A. - Florida Company Profile

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Company Details

Entity Name: PBG TEAM ANESTHESIA, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 13 Jul 2009 (16 years ago)
Document Number: P09000059430
FEI/EIN Number 270531373
Mail Address: 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919, US
Address: 265 BROOKVIEW CENTRE WAY STE 203, KNOXVILLE, TN, 37919, US
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BARRACK JOHN Assi 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919
WEISS JEFFREY DO Director 265 Brookview Centre Way, Knoxville, TN, 37919
STAIR JOHN Assi 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919
Mesrobian James DO Vice President 265 Brookview Centre Way, Knoxville, TN, 37919
Corvini Michael Vice President 265 Brookview Centre Way, Knoxville, TN, 37919
Evans Rob Vice President 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919
- Agent -

Unique Entity ID

Unique Entity ID:
G5V9JTNZ9C49
CAGE Code:
9RVN7
UEI Expiration Date:
2025-10-15

Business Information

Doing Business As:
WOOD ANESTHESIA & PAIN TREATMENT LLC
Activation Date:
2024-10-17
Initial Registration Date:
2022-02-02

National Provider Identifier

NPI Number:
1861623316
Certification Date:
2021-04-12

Authorized Person:

Name:
DR. JEFFREY WEISS
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
5616947160

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-10 265 BROOKVIEW CENTRE WAY STE 203, KNOXVILLE, TN 37919 -
CHANGE OF MAILING ADDRESS 2024-04-10 265 BROOKVIEW CENTRE WAY STE 203, KNOXVILLE, TN 37919 -

Documents

Name Date
ANNUAL REPORT 2024-04-10
ANNUAL REPORT 2023-04-13
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-07-27
ANNUAL REPORT 2020-06-04
ANNUAL REPORT 2019-04-11
ANNUAL REPORT 2018-04-19
ANNUAL REPORT 2017-04-12
ANNUAL REPORT 2016-04-21
ANNUAL REPORT 2015-04-14

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Date of last update: 01 Jul 2025

Sources: Florida Department of State