| Entity Name: | CENTER ANESTHESIA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 24 Jun 1999 (26 years ago) |
| Date of dissolution: | 30 Dec 2011 (13 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 30 Dec 2011 (13 years ago) |
| Document Number: | P99000057300 |
| FEI/EIN Number | 65-0929315 |
| Address: | 63 BARKLEY CIRCLE, SUITE 104, FORT MYERS, FL 33907 |
| Mail Address: | PO BOX 60074, FORT MYERS, FL 33906 |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033120324 | 2006-08-11 | 2008-10-31 | PO BOX 60074, FORT MYERS, FL, 339066074, US | 63 BARKLEY CIR, SUITE 104, FORT MYERS, FL, 339074514, US | |||||||||||||||||||||
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| Phone | +1 850-423-9994 |
| Fax | 8504239962 |
Authorized person
| Name | JENNIFER YATES |
| Role | PATIENT ACCOUNTING MANAGER |
| Phone | 8504239994 |
Taxonomy
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 304894200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHARMA, NEEKAYTAN M.D. | Agent | 63 BARKLEY CIRCLE, SUITE 104, FORT MYERS, FL 33907 |
| Name | Role | Address |
|---|---|---|
| SHARMA, NEEKAYTAN M.D. | President | 10090 MCGREGOR BLVD., FORT MYERS, FL 33907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2011-12-30 | No data | CONVERSION MEMBER. NON-QUALIFIED CORPORATION WAS CENTER ANESTHESIA, LLC (A DELAWARE. CONVERSION NUMBER 900000118929 |
| CHANGE OF MAILING ADDRESS | 2006-01-03 | 63 BARKLEY CIRCLE, SUITE 104, FORT MYERS, FL 33907 | No data |
| Name | Date |
|---|---|
| Conversion | 2011-12-30 |
| ANNUAL REPORT | 2011-02-04 |
| ANNUAL REPORT | 2010-02-18 |
| ANNUAL REPORT | 2009-03-24 |
| ANNUAL REPORT | 2008-04-21 |
| ANNUAL REPORT | 2007-02-28 |
| ANNUAL REPORT | 2006-01-03 |
| ANNUAL REPORT | 2005-04-04 |
| ANNUAL REPORT | 2004-01-08 |
| ANNUAL REPORT | 2003-03-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
