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ANESTHESIA, INC.

Company Details

Entity Name: ANESTHESIA, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 07 Apr 2010 (15 years ago)
Document Number: P10000030286
FEI/EIN Number 80-0588595
Address: 3997 COMMONS DRIVE, SUITE M, DESTIN, FL 32541
Mail Address: 3997 COMMONS DRIVE, SUITE M, DESTIN, FL 32541
ZIP code: 32541
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619269180 2011-05-03 2014-06-10 3997 COMMONS DR W, SUITE M, DESTIN, FL, 325418443, US 3997 COMMONS DR W, SUITE M, DESTIN, FL, 325418443, US

Contacts

Phone +1 850-424-3769
Fax 8504602491

Authorized person

Name MS. ANGELA MARIE KING
Role OFFICE MANAGER
Phone 8504243769

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number ME0068957
State FL
Is Primary Yes

Agent

Name Role Address
Giron, Carlos J. Agent 3997 COMMONS DRIVE, SUITE M, DESTIN, FL 32541

President

Name Role Address
Giron, Carlos J President 3356 Vineville Avenue, Macon, GA 31204

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000059591 EMERALD COAST PAIN SERVICES ACTIVE 2011-06-15 2026-12-31 No data 3997 WEST COMMONS DRIVE, SUITE M, DESTIN, FL, 32541

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-01-15 Giron, Carlos J. No data
REGISTERED AGENT ADDRESS CHANGED 2024-01-15 3997 COMMONS DRIVE, SUITE M, DESTIN, FL 32541 No data
CHANGE OF PRINCIPAL ADDRESS 2011-01-06 3997 COMMONS DRIVE, SUITE M, DESTIN, FL 32541 No data
CHANGE OF MAILING ADDRESS 2011-01-06 3997 COMMONS DRIVE, SUITE M, DESTIN, FL 32541 No data

Documents

Name Date
ANNUAL REPORT 2025-02-09
ANNUAL REPORT 2024-01-15
ANNUAL REPORT 2023-02-07
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-01-18
ANNUAL REPORT 2019-01-25
ANNUAL REPORT 2018-01-10
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-03-27

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9706747007 2020-04-09 0491 PPP 3997 WEST COMMONS DRIVE STE M, DESTIN, FL, 32541-8444
Loan Status Date 2021-09-30
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 97500
Loan Approval Amount (current) 97500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 437056
Servicing Lender Name SouthPoint Bank
Servicing Lender Address 3501 Grandview Pkwy, BIRMINGHAM, AL, 35243-1930
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address DESTIN, OKALOOSA, FL, 32541-8444
Project Congressional District FL-01
Number of Employees 9
NAICS code 621112
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 437056
Originating Lender Name SouthPoint Bank
Originating Lender Address BIRMINGHAM, AL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 98191.54
Forgiveness Paid Date 2021-02-09

Date of last update: 23 Feb 2025

Sources: Florida Department of State