| Entity Name: | TREASURE COAST ANESTHESIOLOGY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Jun 1996 (29 years ago) |
| Document Number: | P96000050817 |
| FEI/EIN Number | 650678068 |
| Address: | 3481 SW Centre Court, Palm City, FL, 34990, US |
| Mail Address: | 3481 SW Centre Court, Palm City, FL, 34990, US |
| ZIP code: | 34990 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225227143 | 2007-10-16 | 2007-10-16 | 1599 SE LENNARD RD, PORT ST LUCIE, FL, 349526542, US | 1599 SE LENNARD RD, PORT ST LUCIE, FL, 349526542, US | |||||||||||||||
|
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| Phone | +1 772-337-3350 |
| Fax | 7723373395 |
Authorized person
| Name | DR. DAVID MICHAEL GLENER |
| Role | PRESIDENT |
| Phone | 7723373350 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GLENER DAVID M | Agent | 3481 SW Centre Court, Palm City, FL, 34990 |
| Name | Role | Address |
|---|---|---|
| GLENER DAVID M | Director | 3481 SW Centre Court, Palm City, FL, 34990 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-07 | 3481 SW Centre Court, Palm City, FL 34990 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-07 | 3481 SW Centre Court, Palm City, FL 34990 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-07 | 3481 SW Centre Court, Palm City, FL 34990 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-01-19 | GLENER, DAVID M | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-03-20 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-03-11 |
| ANNUAL REPORT | 2017-01-08 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
