| Entity Name: | SONGBIRD ANESTHESIA INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Feb 2015 (10 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P15000012502 |
| FEI/EIN Number | 47-3061914 |
| Address: | 1600 N Summer Ridge Ct, St Augustine, FL, 32092, US |
| Mail Address: | 1600 N Summer Ridge Ct, St Augustine, FL, 32092, US |
| ZIP code: | 32092 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386161099 | 2017-08-23 | 2017-08-23 | 1600 N SUMMER RIDGE CT, ST AUGUSTINE, FL, 320923767, US | 1600 N SUMMER RIDGE CT, ST AUGUSTINE, FL, 320923767, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 904-535-1875 |
Authorized person
| Name | MR. RUDOLPH PAVLESICH |
| Role | PRESIDENT |
| Phone | 9045351875 |
Taxonomy
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| License Number | 9178468 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PAVLESICH RUDOLPH | Agent | 1600 N Summer Ridge Ct, St Augustine, FL, 32092 |
| Name | Role | Address |
|---|---|---|
| PAVLESICH RUDOLPH | President | 1600 N Summer Ridge Ct, St Augustine, FL, 32092 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-17 | 1600 N Summer Ridge Ct, St Augustine, FL 32092 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-17 | 1600 N Summer Ridge Ct, St Augustine, FL 32092 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-17 | 1600 N Summer Ridge Ct, St Augustine, FL 32092 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-01-13 |
| ANNUAL REPORT | 2017-01-29 |
| ANNUAL REPORT | 2016-04-17 |
| Domestic Profit | 2015-02-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
