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  5. FIRST ANESTHESIA ASSOCIATES, INC.

FIRST ANESTHESIA ASSOCIATES, INC. - Florida Company Profile

Company Details

Entity Name: FIRST ANESTHESIA ASSOCIATES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FIRST ANESTHESIA ASSOCIATES, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 24 Dec 1996 (28 years ago)
Date of dissolution: 23 Sep 2022 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (3 years ago)
Document Number: P96000103446
FEI/EIN Number 593420266

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 730 Goodlette Rd., NAPLES, FL, 34102, US
Mail Address: 730 Goodlette Rd., NAPLES, FL, 34102, US
ZIP code: 34102
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619928512 2006-05-15 2018-08-02 730 GOODLETTE RD N STE 200, NAPLES, FL, 341025618, US 730 GOODLETTE RD N, SUITE 200, NAPLES, FL, 34102, US

Contacts
Phone +1 239-659-6400
Fax 2396597030

Authorized person
Name DR. JOSE M. CAMPOAMOR
Role PRESIDENT
Phone 2396596400

Taxonomy
Taxonomy Code 208VP0014X - Interventional Pain Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA PAIN CENTER OF NAPLES 401(K) PLAN 2020 593420266 2021-03-31 FIRST ANESTHESIA ASSOCIATES, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2396596400
Plan sponsor’s address THE BRENNAN MEDICAL BLDG, 730 GOODLETTE FRANK RD, SUITE 200, NAPLES, FL, 34102

Signature of
Role Plan administrator
Date 2021-03-31
Name of individual signing JAMES RALEY
Valid signature Filed with authorized/valid electronic signature
FLORIDA PAIN CENTER OF NAPLES 401(K) PLAN 2019 593420266 2020-10-13 FIRST ANESTHESIA ASSOCIATES, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2396596400
Plan sponsor’s address THE BRENNAN MEDICAL BLDG, 730 GOODLETTE FRANK RD, SUITE 200, NAPLES, FL, 34102

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing JAMES WORDEN
Valid signature Filed with authorized/valid electronic signature
FLORIDA PAIN CENTER OF NAPLES 401(K) PLAN 2018 593420266 2019-10-14 FIRST ANESTHESIA ASSOCIATES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2396596400
Plan sponsor’s address THE BRENNAN MEDICAL BLDG, 730 GOODLETTE RD, SUITE 200, NAPLES, FL, 34102

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing JAMES WORDEN
Valid signature Filed with authorized/valid electronic signature
FLORIDA PAIN CENTER OF NAPLES 401(K) PLAN 2017 593420266 2018-09-13 FIRST ANESTHESIA ASSOCIATES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2396596400
Plan sponsor’s address THE BRENNAN MEDICAL BLDG, 730 GOODLETTE RD, SUITE 200, NAPLES, FL, 34102

Signature of
Role Plan administrator
Date 2018-09-13
Name of individual signing JAMES WORDEN
Valid signature Filed with authorized/valid electronic signature
FLORIDA PAIN CENTER OF NAPLES 401(K) PLAN 2016 593420266 2017-11-18 FIRST ANESTHESIA ASSOCIATES, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2396596400
Plan sponsor’s address THE BRENNAN MEDICAL BLDG, 730 GOODLETTE RD, SUITE 200, NAPLES, FL, 34102

Signature of
Role Plan administrator
Date 2017-11-16
Name of individual signing JAMES WORDEN
Valid signature Filed with authorized/valid electronic signature
FLORIDA PAIN CENTER OF NAPLES 401(K) PLAN 2015 593420266 2016-10-06 FIRST ANESTHESIA ASSOCIATES, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2396596400
Plan sponsor’s address THE BRENNAN MEDICAL BLDG, 730 GOODLETTE RD, SUITE 200, NAPLES, FL, 34102

Signature of
Role Plan administrator
Date 2016-10-05
Name of individual signing JAMES WORDEN
Valid signature Filed with authorized/valid electronic signature
FLORIDA PAIN CENTER OF NAPLES 401(K) PLAN 2014 593420266 2015-09-28 FIRST ANESTHESIA ASSOCIATES, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2396596400
Plan sponsor’s address THE BRENNAN MEDICAL BLDG, 730 GOODLETTE RD, SUITE 200, NAPLES, FL, 34102

Signature of
Role Plan administrator
Date 2015-09-26
Name of individual signing JAMES WORDEN
Valid signature Filed with authorized/valid electronic signature
FLORIDA PAIN CENTER OF NAPLES 401(K) PLAN 2013 593420266 2014-10-07 FIRST ANESTHESIA ASSOCIATES, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2396596400
Plan sponsor’s address 12250 TAMIAMI TRAIL EAST, SUITE 201, NAPLES, FL, 34113

Signature of
Role Plan administrator
Date 2014-10-07
Name of individual signing JAMES RALEY
Valid signature Filed with authorized/valid electronic signature
FLORIDA PAIN CENTER OF NAPLES 401(K) PLAN 2012 593420266 2013-06-27 FIRST ANESTHESIA ASSOCIATES, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2396596400
Plan sponsor’s address 12250 TAMIAMI TRAIL EAST, SUITE 201, NAPLES, FL, 34113

Signature of
Role Plan administrator
Date 2013-06-27
Name of individual signing JAMES WORDEN
Valid signature Filed with authorized/valid electronic signature
FLORIDA PAIN CENTER OF NAPLES 401(K) PLAN 2011 593420266 2012-10-12 FIRST ANESTHESIA ASSOCIATES, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2396596400
Plan sponsor’s address 12250 TAMIAMI TRAIL EAST, SUITE 201, NAPLES, FL, 34113

Plan administrator’s name and address
Administrator’s EIN 593420266
Plan administrator’s name FIRST ANESTHESIA ASSOCIATES, INC.
Plan administrator’s address 12250 TAMIAMI TRAIL EAST, SUITE 201, NAPLES, FL, 34113
Administrator’s telephone number 2396596400

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing JAMES RALEY
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
WORDEN JAMES J President 730 GOODLETTE RD STE 200, NAPLES, FL, 34102
WORDEN JAMES J Director 730 GOODLETTE RD STE 200, NAPLES, FL, 34102
WORDEN JAMES J Secretary 730 GOODLETTE RD STE 200, NAPLES, FL, 34102
MUSTARI JEFFREY ESQ Agent 301 W.BAY STREET,SUITE 14152, JACKSONVILLE, FL, 32202

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000105082 FLORIDA PAIN CENTER OF NAPLES EXPIRED 2010-11-16 2015-12-31 - 730 GOODLETTE RD, SUITE 200, NAPLES, FL, 34102
G10000031862 FIRST ANESTHESIA ASSOCIATES, PA EXPIRED 2010-04-09 2015-12-31 - 730 GOODLETTE RD., SUITE 200, NAPLES, FL, 34102

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
REGISTERED AGENT ADDRESS CHANGED 2021-07-20 301 W.BAY STREET,SUITE 14152, JACKSONVILLE, FL 32202 -
REINSTATEMENT 2021-07-20 - -
REGISTERED AGENT NAME CHANGED 2021-07-20 MUSTARI, JEFFREY, ESQ -
ADMIN DISSOLUTION FOR REGISTERED AGENT 2021-06-24 - -
AMENDMENT AND NAME CHANGE 2020-04-27 FIRST ANESTHESIA ASSOCIATES, INC. -
REINSTATEMENT 2017-10-02 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 - -
CHANGE OF PRINCIPAL ADDRESS 2014-09-26 730 Goodlette Rd., 200, NAPLES, FL 34102 -
CHANGE OF MAILING ADDRESS 2014-09-26 730 Goodlette Rd., 200, NAPLES, FL 34102 -

Documents

Name Date
Reinstatement 2021-07-20
Reg. Agent Resignation 2021-02-04
Off/Dir Resignation 2021-02-04
Amendment and Name Change 2020-04-27
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-01-30
ANNUAL REPORT 2018-01-15
REINSTATEMENT 2017-10-02
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-04-22

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2994598705 2021-03-30 0455 PPS 730 Goodlette-Frank Rd N Ste 200, Naples, FL, 34102-5618
Loan Status Date 2021-04-28
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 175000
Loan Approval Amount (current) 175000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 98993
Servicing Lender Name Lake Michigan CU
Servicing Lender Address 5540 Glenwood Hills Pkwy SE, GRAND RAPIDS, MI, 49512-2044
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Naples, COLLIER, FL, 34102-5618
Project Congressional District FL-19
Number of Employees 13
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 98993
Originating Lender Name Lake Michigan CU
Originating Lender Address GRAND RAPIDS, MI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 176837.5
Forgiveness Paid Date 2022-05-05

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MUSTARI JEFFREY ESQ

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LAB SERVICES OF GEORGIA, LLC - Inactive
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Companies related by address

No other companies in our directory share the same address as FIRST ANESTHESIA ASSOCIATES, INC.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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