| Entity Name: | WOLVERINE ANESTHESIA CONSULTANTS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
WOLVERINE ANESTHESIA CONSULTANTS, 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: | 20 Oct 1998 (27 years ago) |
| Date of dissolution: | 04 Nov 2015 (9 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 04 Nov 2015 (9 years ago) |
| Document Number: | P98000089413 |
| FEI/EIN Number |
593537483
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 7111 Fairway Drive, Suite 450, Palm Beach Gardens, FL, 33418, US |
| Mail Address: | 265 BROOKVIEW CENTRE WAY - STE. 400, ATTN: LEGAL, KNOXVILLE, TN, 37919, US |
| ZIP code: | 33418 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558381392 | 2006-07-21 | 2013-12-05 | 7111 FAIRWAY DR, SUITE 450, PALM BEACH GARDENS, FL, 334184204, US | 1414 KUHL AVE, ORLANDO, FL, 328062008, US | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-799-3552 |
| Fax | 8652913224 |
Authorized person
| Name | JEFFREY WEISS |
| Role | PRESIDENT |
| Phone | 5617993552 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | No |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 367H00000X - Anesthesiologist Assistant |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICARE - RRGA |
| Number | CI6774 |
| State | FL |
| Issuer | MEDICAID |
| Number | 255628600 |
| State | FL |
| Issuer | BCBS |
| Number | 38225 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Weiss Jeffrey MD | President | 7111 Fairway Drive, Suite 450, Palm Beach Gardens, FL, 33418 |
| Rogers Oliver | Director | 7111 Fairway Drive, Suite 450, Palm Beach Gardens, FL, 33418 |
| Snow Michael | Director | 265 BROOKVIEW CENTRE WAY - STE. 400, KNOXVILLE, TN, 37919 |
| Wohlner Elliott MD | Vice President | 7111 Fairway Drive, Suite 450, Palm Beach Gardens, FL, 33418 |
| Beuerle Don | Chief Financial Officer | 7111 Fairway Drive, Suite 450, Palm Beach Gardens, FL, 33418 |
| Allen Heidi | Vice President | 265 BROOKVIEW CENTRE WAY - STE. 400, KNOXVILLE, TN, 37919 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000094542 | WOLVERINE ANESTHESIA OF TEAMHEALTH | EXPIRED | 2015-09-15 | 2020-12-31 | - | 7111 FAINWAY DRIVE,SUITE 450, PALM BEACH GARDENS, FL, 33418 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2015-11-04 | - | CONVERSION MEMBER. RESULTING CORPORATION WAS L15000186549. CONVERSION NUMBER 500000155365 |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-03 | 7111 Fairway Drive, Suite 450, Palm Beach Gardens, FL 33418 | - |
| AMENDMENT AND NAME CHANGE | 2013-11-07 | WOLVERINE ANESTHESIA CONSULTANTS, INC. | - |
| CHANGE OF MAILING ADDRESS | 2013-11-07 | 7111 Fairway Drive, Suite 450, Palm Beach Gardens, FL 33418 | - |
| REGISTERED AGENT NAME CHANGED | 2013-11-07 | CORPORATION SERVICE COMPANY | - |
| REGISTERED AGENT ADDRESS CHANGED | 2013-11-07 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-14 |
| AMENDED ANNUAL REPORT | 2014-04-03 |
| ANNUAL REPORT | 2014-01-21 |
| Amendment and Name Change | 2013-11-07 |
| ANNUAL REPORT | 2013-04-08 |
| ANNUAL REPORT | 2012-01-17 |
| ANNUAL REPORT | 2011-01-19 |
| ANNUAL REPORT | 2010-01-12 |
| ANNUAL REPORT | 2009-03-20 |
| ANNUAL REPORT | 2008-03-17 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
