| Entity Name: | EXECUTIVE ANESTHESIA INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 05 Nov 2018 (6 years ago) |
| Document Number: | P18000091898 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 1455 Hidden Ct., Tarpon Springs, FL 34689 |
| Mail Address: | 8635 Hillsborough Ave, Ste 202, Tampa, FL 33615 |
| ZIP code: | 34689 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457821324 | 2018-12-04 | 2019-03-07 | 4532 W KENNEDY BLVD STE 134, TAMPA, FL, 336092042, US | 4532 W KENNEDY BLVD STE 134, TAMPA, FL, 336092042, US | |||||||||||||
|
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| Phone | +1 731-624-9595 |
Authorized person
| Name | STEVEN MARVIN SWAN |
| Role | PRINCIPAL |
| Phone | 8133404224 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TRUDELL, JASON | Agent | 8635 Hillsborough Ave, St. 202, TAMPA, FL 33615 |
| Name | Role | Address |
|---|---|---|
| TRUDELL, JASON | President | 1455 Hidden Ct., TAMPA, FL 34689 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-01-28 | 1455 Hidden Ct., Tarpon Springs, FL 34689 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-15 | 1455 Hidden Ct., Tarpon Springs, FL 34689 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-15 | 8635 Hillsborough Ave, St. 202, TAMPA, FL 33615 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-02-12 | TRUDELL, JASON | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-04-05 |
| ANNUAL REPORT | 2020-02-12 |
| ANNUAL REPORT | 2019-04-22 |
| Domestic Profit | 2018-11-05 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
