| Entity Name: | MOBILE ANESTHESIA ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 17 Jun 1994 (31 years ago) |
| Document Number: | P94000045525 |
| FEI/EIN Number | 650499574 |
| Address: | 2101 PARK CENTER DR, SUITE 170, ORLANDO, FL, 32835, US |
| Mail Address: | 2101 PARK CENTER DR., SUITE #170, ORLANDO, FL, 32835, US |
| ZIP code: | 32835 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144668617 | 2013-06-06 | 2013-06-06 | 605 UNITED ST REAR, KEY WEST, FL, 330403229, US | 605 UNITED ST REAR, KEY WEST, FL, 330403229, US | |||||||||||||||||
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| Phone | +1 863-224-0061 |
Authorized person
| Name | PATRICK JOSEPH RUDDY JR. |
| Role | PRESIDENT |
| Phone | 8632240061 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| License Number | ME67160 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COEL MARK A | Agent | ONE LINCOLN PLACE, BOCA RATON, FL, 334310000 |
| Name | Role | Address |
|---|---|---|
| RUDDY, M.D. PATRICK | President | 325 AVENUE BNW, WINTER HAVEN, FL, 33884 |
| Name | Role | Address |
|---|---|---|
| RUDDY, M.D. PATRICK | Treasurer | 325 AVENUE BNW, WINTER HAVEN, FL, 33884 |
| Name | Role | Address |
|---|---|---|
| RUDDY, M.D. PATRICK | Director | 325 AVENUE BNW, WINTER HAVEN, FL, 33884 |
| Name | Role | Address |
|---|---|---|
| LEVINE MARC I | Vice President | 111 SE OSCEOLA STREET #201, STUART, FL, 34994 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000066022 | COASTAL PAIN SOLUTIONS | ACTIVE | 2020-06-11 | 2025-12-31 | No data | 111 SE OSCEOLA ST, SUITE 201, STUART, FL, 34994 |
| G14000101727 | ANESTHESIA ASSOCIATES OF FLORIDA | EXPIRED | 2014-10-07 | 2024-12-31 | No data | 2101 PARK CENTER DRIVE SUITE 170, ORLANDO, FL, 32835-7608 |
| G13000017256 | COASTAL INTERVENTIONAL INJECTION SERVICES | EXPIRED | 2013-02-19 | 2018-12-31 | No data | 2101 PARK CENTER DRIVE, SUITE 260, ORLANDO, FL, 32835 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2020-07-06 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS L20000208877. CONVERSION NUMBER 500000204275 |
| AMENDMENT | 2020-06-03 | No data | No data |
| NAME CHANGE AMENDMENT | 2001-12-20 | MOBILE ANESTHESIA ASSOCIATES, INC. | No data |
| REINSTATEMENT | 1999-01-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1998-10-16 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
