| Entity Name: | OUTPATIENT ANESTHESIA OF SOUTHWEST FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 04 Nov 2011 (13 years ago) |
| Date of dissolution: | 07 Dec 2022 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 07 Dec 2022 (2 years ago) |
| Document Number: | P11000096442 |
| FEI/EIN Number | 45-3750567 |
| Address: | 12511 WORLD PLAZA LANE, BLDG. 50, FORT MYERS, FL 33907 |
| Mail Address: | 12511 WORLD PLAZA LANE, BLDG. 50, FORT MYERS, FL 33907 |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518244383 | 2011-11-08 | 2018-06-20 | 12511 WORLD PLAZA LN BLDG 50, FORT MYERS, FL, 339073991, US | 12511 WORLD PLAZA LN BLDG 50, FORT MYERS, FL, 339073991, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 239-939-4903 |
| Fax | 2399390151 |
Authorized person
| Name | MRS. GAIL TSCHAPPAT |
| Role | OFFICE MANAGER |
| Phone | 2399394903 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME0047526 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| HF REGISTERED AGENTS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| BISBEE, CHARLES A, M.D. | Director | 12511 WORLD PLAZA LANE, BLDG. 50, FORT MYERS, FL 33907 |
| SCHUCAVAGE, BERNARD M, M.D. | Director | 12511 WORLD PLAZA LANE, BLDG. 50, FORT MYERS, FL 33907 |
| TURNER, ROBERT M, M.D. | Director | 12511 WORLD PLAZA LANE, BLDG. 50, FORT MYERS, FL 33907 |
| HOMOLKA, CHARLES M, JR., M.D. | Director | 12511 WORLD PLAZA LANE, BLDG. 50, FORT MYERS, FL 33907 |
| PALMON, SALLY C, M.D. | Director | 12511 WORLD PLAZA LANE, BLDG. 50, FORT MYERS, FL 33907 |
| KNICKREHM, JON, M.D. | Director | 12511 WORLD PLAZA LANE, BLDG. 50, FORT MYERS, FL 33907 |
| SANDADI, JENNIFER, M.D. | Director | 12511 WORLD PLAZA LANE BLDG #50, FORT MYERS, FL 33097 |
| Name | Role | Address |
|---|---|---|
| BISBEE, CHARLES A, M.D. | President | 12511 WORLD PLAZA LANE, BLDG. 50, FORT MYERS, FL 33907 |
| Name | Role | Address |
|---|---|---|
| SCHUCAVAGE, BERNARD M, M.D. | Vice President | 12511 WORLD PLAZA LANE, BLDG. 50, FORT MYERS, FL 33907 |
| Name | Role | Address |
|---|---|---|
| TURNER, ROBERT M, M.D. | Secretary | 12511 WORLD PLAZA LANE, BLDG. 50, FORT MYERS, FL 33907 |
| Name | Role | Address |
|---|---|---|
| HOMOLKA, CHARLES M, JR., M.D. | Treasurer | 12511 WORLD PLAZA LANE, BLDG. 50, FORT MYERS, FL 33907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-12-07 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-04-13 | HF REGISTERED AGENTS, LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-15 | 12511 WORLD PLAZA LANE, BLDG. 50, FORT MYERS, FL 33907 | No data |
| CHANGE OF MAILING ADDRESS | 2014-01-15 | 12511 WORLD PLAZA LANE, BLDG. 50, FORT MYERS, FL 33907 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2022-12-07 |
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-03-17 |
| ANNUAL REPORT | 2015-03-16 |
| ANNUAL REPORT | 2014-01-15 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
