| Entity Name: | OCALA SURGICAL CENTER ANESTHESIA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 08 Jul 1998 (27 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P98000060868 |
| FEI/EIN Number | 59-3519734 |
| Address: | 7310 STADIFER RD., #1110, CHATTANOOGA, TN 37421 |
| Mail Address: | 7310 STADIFER RD., #1110, CHATTANOOGA, TN 37421 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891789269 | 2005-08-31 | 2014-02-03 | PO BOX 1626, OCALA, FL, 344781626, US | 3241 SW 34TH ST, OCALA, FL, 344747439, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 352-873-6808 |
| Fax | 3528739726 |
| Phone | +1 352-237-5906 |
| Fax | 3522378758 |
Authorized person
| Name | DR. JOE HERRERA |
| Role | PRESIDENT |
| Phone | 3528736808 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME86355 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 255540900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GRESSER, YORK R | Agent | 2300 S PINE AVE, SUITE A, OCALA, FL 34471 |
| Name | Role | Address |
|---|---|---|
| Herrera, Joe M | President | 1819 SE 12th Ave, OCALA, FL 34471 |
| Name | Role | Address |
|---|---|---|
| Herrera, Joe M | Vice President | 1819 SE 12th Ave, OCALA, FL 34471 |
| Name | Role | Address |
|---|---|---|
| Herrera, Joe M | Secretary | 1819 SE 12th Ave, OCALA, FL 34471 |
| Name | Role | Address |
|---|---|---|
| Herrera, Joe M | Treasurer | 1819 SE 12th Ave, OCALA, FL 34471 |
| Name | Role | Address |
|---|---|---|
| Herrera, Joe M | Director | 1819 SE 12th Ave, OCALA, FL 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-07-30 | 7310 STADIFER RD., #1110, CHATTANOOGA, TN 37421 | No data |
| CHANGE OF MAILING ADDRESS | 2015-07-30 | 7310 STADIFER RD., #1110, CHATTANOOGA, TN 37421 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-06 | 2300 S PINE AVE, SUITE A, OCALA, FL 34471 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-06-29 | GRESSER, YORK R | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-25 |
| ANNUAL REPORT | 2013-01-02 |
| ANNUAL REPORT | 2012-04-10 |
| ANNUAL REPORT | 2011-03-18 |
| ANNUAL REPORT | 2010-03-22 |
| ANNUAL REPORT | 2009-04-06 |
| ANNUAL REPORT | 2008-03-17 |
| ANNUAL REPORT | 2007-03-28 |
| ANNUAL REPORT | 2006-04-04 |
| ANNUAL REPORT | 2005-06-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
