| Entity Name: | TWILIGHT ANESTHESIA GROUP INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Jun 2021 (4 years ago) |
| Document Number: | P21000057520 |
| FEI/EIN Number | 87-1357100 |
| Address: | 331 LEMON STREET, PALM HARBOR, FL, 34683 |
| Mail Address: | 331 LEMON STREET, PALM HARBOR, FL, 34683 |
| ZIP code: | 34683 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760054399 | 2021-07-13 | 2021-07-13 | 400 10TH ST E, WACONIA, MN, 553874552, US | 2024 SEVEN SPRINGS BLVD, NEW PORT RICHEY, FL, 346553933, US | |||||||||||||||
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| Phone | +1 888-209-0305 |
| Fax | 9524423620 |
Authorized person
| Name | MARK L NELSON |
| Role | PRESIDENT |
| Phone | 7274184538 |
Taxonomy
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PRINCE PETER | Agent | 6601 MEMORIAL HIGHWAY, TAMPA, FL, 33615 |
| Name | Role | Address |
|---|---|---|
| NELSON MARK | President | 331 LEMON STREET, PALM HARBOR, FL, 34683 |
| Name | Role | Address |
|---|---|---|
| Nelson Brenda M | Vice President | 331 LEMON STREET, PALM HARBOR, FL, 34683 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-07 |
| ANNUAL REPORT | 2023-02-25 |
| AMENDED ANNUAL REPORT | 2022-09-14 |
| ANNUAL REPORT | 2022-03-08 |
| Domestic Profit | 2021-06-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
