| Entity Name: | ENDOSCOPIC ANESTHESIA GROUP, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 09 Feb 2010 (15 years ago) |
| Last Event: | AMENDED AND RESTATED ARTICLES |
| Event Date Filed: | 16 Dec 2020 (4 years ago) |
| Document Number: | P10000012145 |
| FEI/EIN Number | 27-1874119 |
| Address: | 1817 N MILLS AVE, ORLANDO, FL 32803 |
| Mail Address: | 1817 N MILLS AVE, ORLANDO, FL 32803 |
| ZIP code: | 32803 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922311448 | 2010-07-26 | 2023-09-07 | 1817 N MILLS AVE, ORLANDO, FL, 328031853, US | 1817 N MILLS AVE, ORLANDO, FL, 328031853, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 407-241-3268 |
| Fax | 4072413275 |
Authorized person
| Name | DR. WILLIAM B. RUDERMAN |
| Role | PRESIDENT |
| Phone | 4072413268 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEVINE, HENRY, M.D. | Agent | 1817 N MILLS AVE, ORLANDO, FL 32803 |
| Name | Role | Address |
|---|---|---|
| LEVINE, HENRY | Director | 1817 N MILLS AVE, ORLANDO, FL 32803 |
| MAYORAL, WILLIAM | Director | 1817 N MILLS AVE, ORLANDO, FL 32803 |
| ILAGAN, MARLON B | Director | 1817 N MILLS AVE, ORLANDO, FL 32803 |
| GIDAY, SAMUEL A | Director | 1817 N MILLS AVE, ORLANDO, FL 32803 |
| KORENBLIT, JASON A. | Director | 1817 N MILLS AVE, ORLANDO, FL 32803 |
| Rafiq, Ehsan | Director | 1817 N MILLS AVE, ORLANDO, FL 32803 |
| Name | Role | Address |
|---|---|---|
| LEVINE, HENRY | President | 1817 N MILLS AVE, ORLANDO, FL 32803 |
| Name | Role | Address |
|---|---|---|
| MAYORAL, WILLIAM | Secretary | 1817 N MILLS AVE, ORLANDO, FL 32803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDED AND RESTATEDARTICLES | 2020-12-16 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-12-16 | LEVINE, HENRY, M.D. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-24 | 1817 N MILLS AVE, ORLANDO, FL 32803 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-02-19 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-21 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
