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  5. FIRST ANESTHESIA ASSOCIATES, INC.

FIRST ANESTHESIA ASSOCIATES, INC.

Company Details

Entity Name: FIRST ANESTHESIA ASSOCIATES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 24 Dec 1996 (28 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: P96000103446
FEI/EIN Number 593420266
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

Agent

Name Role Address
MUSTARI JEFFREY ESQ Agent 301 W.BAY STREET,SUITE 14152, JACKSONVILLE, FL, 32202

President

Name Role Address
WORDEN JAMES J President 730 GOODLETTE RD STE 200, NAPLES, FL, 34102

Director

Name Role Address
WORDEN JAMES J Director 730 GOODLETTE RD STE 200, NAPLES, FL, 34102

Secretary

Name Role Address
WORDEN JAMES J Secretary 730 GOODLETTE RD STE 200, NAPLES, FL, 34102

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 No data 730 GOODLETTE RD, SUITE 200, NAPLES, FL, 34102
G10000031862 FIRST ANESTHESIA ASSOCIATES, PA EXPIRED 2010-04-09 2015-12-31 No data 730 GOODLETTE RD., SUITE 200, NAPLES, FL, 34102

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
REGISTERED AGENT ADDRESS CHANGED 2021-07-20 301 W.BAY STREET,SUITE 14152, JACKSONVILLE, FL 32202 No data
REINSTATEMENT 2021-07-20 No data No data
REGISTERED AGENT NAME CHANGED 2021-07-20 MUSTARI, JEFFREY, ESQ No data
ADMIN DISSOLUTION FOR REGISTERED AGENT 2021-06-24 No data No data
AMENDMENT AND NAME CHANGE 2020-04-27 FIRST ANESTHESIA ASSOCIATES, INC. No data
REINSTATEMENT 2017-10-02 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 2014-09-26 730 Goodlette Rd., 200, NAPLES, FL 34102 No data
CHANGE OF MAILING ADDRESS 2014-09-26 730 Goodlette Rd., 200, NAPLES, FL 34102 No data

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

Related by officers

WORDEN JAMES J

FLORIDA PAIN CENTER OF NAPLES, LLC

MUSTARI JEFFREY ESQ

LAB SERVICES OF GEORGIA, LLC COASTAL COMMUNITY HEALTH SERVICES, INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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