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SUMMIT ANESTHESIOLOGY, INC.

Company Details

Entity Name: SUMMIT ANESTHESIOLOGY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 27 Jan 1999 (26 years ago)
Date of dissolution: 27 Sep 2019 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (5 years ago)
Document Number: P99000007805
FEI/EIN Number 593554707
Address: 842 PALM OAK DR, APOPKA, FL, 32712, US
Mail Address: P.O. BOX 1510, APOPKA, FL, 32704, US
ZIP code: 32712
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790795854 2006-08-09 2020-08-22 PO BOX 1510, APOPKA, FL, 397041510, US 5652 MEADOWLANE ST, STE A, NEW PORT RICHEY, FL, 346524005, US

Contacts

Phone +1 407-814-2250
Fax 4078142260

Authorized person

Name JOSEPH FRANCIS MORGAN
Role PRESIDENT
Phone 4078142250

Taxonomy

Taxonomy Code 367500000X - Certified Registered Nurse Anesthetist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUMMIT ANESTHESIOLOGY, INC 401K PLAN 2018 593554707 2019-07-10 SUMMIT ANESTHESIOLOGY, INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 4078142260
Plan sponsor’s address 842 PALM OAK DRIVE, APOPKA, FL, 327122814

Signature of

Role Plan administrator
Date 2019-07-10
Name of individual signing CRYSTAL LAWRENCE
Valid signature Filed with authorized/valid electronic signature
SUMMIT ANESTHESIOLOGY, INC 401K PLAN 2018 593554707 2019-04-22 SUMMIT ANESTHESIOLOGY, INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 4078142250
Plan sponsor’s address 842 PALM OAK DRIVE, APOPKA, FL, 327122814

Plan administrator’s name and address

Administrator’s EIN 593554707
Plan administrator’s name SUMMIT ANESTHESIOLOGY, INC
Plan administrator’s address 842 PALM OAK DRIVE, APOPKA, FL, 327122814
Administrator’s telephone number 4078142250

Signature of

Role Plan administrator
Date 2019-04-22
Name of individual signing CRYSTAL LAWRENCE
Valid signature Filed with authorized/valid electronic signature
SUMMIT ANESTHESIOLOGY, INC 401K PLAN 2017 593554707 2018-07-09 SUMMIT ANESTHESIOLOGY, INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 4078142250
Plan sponsor’s address 842 PALM OAK DRIVE, APOPKA, FL, 327122814

Plan administrator’s name and address

Administrator’s EIN 593554707
Plan administrator’s name SUMMIT ANESTHESIOLOGY, INC
Plan administrator’s address 842 PALM OAK DRIVE, APOPKA, FL, 327122814
Administrator’s telephone number 4078142250

Signature of

Role Plan administrator
Date 2018-07-09
Name of individual signing CRYSTAL LAWRENCE
Valid signature Filed with authorized/valid electronic signature
SUMMIT ANESTHESIOLOGY, INC 401K PLAN 2016 593554707 2017-03-30 SUMMIT ANESTHESIOLOGY, INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 4078142250
Plan sponsor’s address 842 PALM OAK DRIVE, APOPKA, FL, 327122814

Plan administrator’s name and address

Administrator’s EIN 593554707
Plan administrator’s name SUMMIT ANESTHESIOLOGY, INC
Plan administrator’s address 842 PALM OAK DRIVE, APOPKA, FL, 327122814
Administrator’s telephone number 4078142250

Signature of

Role Plan administrator
Date 2017-03-30
Name of individual signing CRYSTAL LAWRENCE
Valid signature Filed with authorized/valid electronic signature
SUMMIT ANESTHESIOLOGY, INC 401K PLAN 2015 593554707 2016-03-07 SUMMIT ANESTHESIOLOGY, INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 4078142250
Plan sponsor’s address 842 PALM OAK DRIVE, APOPKA, FL, 327122814

Plan administrator’s name and address

Administrator’s EIN 593554707
Plan administrator’s name SUMMIT ANESTHESIOLOGY, INC
Plan administrator’s address 842 PALM OAK DRIVE, APOPKA, FL, 327122814
Administrator’s telephone number 4078142250

Signature of

Role Plan administrator
Date 2016-03-07
Name of individual signing CRYSTAL LAWRENCE
Valid signature Filed with authorized/valid electronic signature
SUMMIT ANESTHESIOLOGY, INC 401K PLAN 2014 593554707 2015-05-28 SUMMIT ANESTHESIOLOGY, INC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 4078142250
Plan sponsor’s address 842 PALM OAK DRIVE, APOPKA, FL, 327122814

Plan administrator’s name and address

Administrator’s EIN 593554707
Plan administrator’s name SUMMIT ANESTHESIOLOGY, INC
Plan administrator’s address 842 PALM OAK DRIVE, APOPKA, FL, 327122814
Administrator’s telephone number 4078142250

Signature of

Role Plan administrator
Date 2015-05-28
Name of individual signing CRYSTAL LAWRENCE
Valid signature Filed with authorized/valid electronic signature
SUMMIT ANESTHESIOLOGY, INC 401K PLAN 2013 593554707 2014-10-14 SUMMIT ANESTHESIOLOGY, INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 4078142250
Plan sponsor’s address 842 PALM OAK DRIVE, APOPKA, FL, 327122814

Plan administrator’s name and address

Administrator’s EIN 593554707
Plan administrator’s name SUMMIT ANESTHESIOLOGY, INC
Plan administrator’s address 842 PALM OAK DRIVE, APOPKA, FL, 327122814
Administrator’s telephone number 4078142250

Signature of

Role Plan administrator
Date 2014-10-14
Name of individual signing CRYSTAL LAWRENCE
Valid signature Filed with authorized/valid electronic signature
SUMMIT ANESTHESIOLOGY, INC 401K PLAN 2012 593554707 2013-10-15 SUMMIT ANESTHESIOLOGY, INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 4078142250
Plan sponsor’s address 842 PALM OAK DRIVE, APOPKA, FL, 327122814

Plan administrator’s name and address

Administrator’s EIN 593554707
Plan administrator’s name SUMMIT ANESTHESIOLOGY, INC
Plan administrator’s address 842 PALM OAK DRIVE, APOPKA, FL, 327122814
Administrator’s telephone number 4078142250

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing CRYSTAL LAWRENCE
Valid signature Filed with authorized/valid electronic signature
SUMMIT ANESTHESIOLOGY, INC 401K PLAN 2011 593554707 2012-10-10 SUMMIT ANESTHESIOLOGY, INC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 4078142250
Plan sponsor’s address 842 PALM OAK DRIVE, APOPKA, FL, 327122814

Plan administrator’s name and address

Administrator’s EIN 593554707
Plan administrator’s name SUMMIT ANESTHESIOLOGY, INC
Plan administrator’s address 842 PALM OAK DRIVE, APOPKA, FL, 327122814
Administrator’s telephone number 4078142250

Signature of

Role Plan administrator
Date 2012-10-10
Name of individual signing CRYSTAL LAWRENCE
Valid signature Filed with authorized/valid electronic signature
SUMMIT ANESTHESIOLOGY, INC 401(K) PLAN 2010 593554707 2011-09-21 SUMMIT ANESTHESIOLOGY, INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 4078142250
Plan sponsor’s address 842 PALM OAK DRIVE, APOPKA, FL, 32712

Plan administrator’s name and address

Administrator’s EIN 593554707
Plan administrator’s name SUMMIT ANESTHESIOLOGY, INC
Plan administrator’s address 842 PALM OAK DRIVE, APOPKA, FL, 32712
Administrator’s telephone number 4078142250

Signature of

Role Plan administrator
Date 2011-09-21
Name of individual signing CRYSTAL LAWRENCE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
1956 CORP. Agent

Manager

Name Role Address
DIGBY DOUGLAS S Manager 6241 ARC WAY, FT MYERS, FL, 33966

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
AMENDMENT 2019-01-16 No data No data
REGISTERED AGENT NAME CHANGED 2018-10-26 1956 No data
REINSTATEMENT 2018-10-26 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
REGISTERED AGENT ADDRESS CHANGED 2010-02-18 842 PALM OAK DRIVE, APOPKA, FL 32712 No data
CHANGE OF PRINCIPAL ADDRESS 2002-02-26 842 PALM OAK DR, APOPKA, FL 32712 No data
CHANGE OF MAILING ADDRESS 2000-04-18 842 PALM OAK DR, APOPKA, FL 32712 No data

Documents

Name Date
Amendment 2019-01-16
REINSTATEMENT 2018-10-26
ANNUAL REPORT 2017-04-06
ANNUAL REPORT 2016-07-07
ANNUAL REPORT 2015-03-31
ANNUAL REPORT 2014-04-18
ANNUAL REPORT 2013-02-26
ANNUAL REPORT 2012-03-08
ANNUAL REPORT 2011-06-04
ANNUAL REPORT 2010-02-18

Date of last update: 02 Feb 2025

Sources: Florida Department of State