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SOUTH LAKE ANESTHESIA SERVICES, P.A. - Florida Company Profile

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Company Details

Entity Name: SOUTH LAKE ANESTHESIA SERVICES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

SOUTH LAKE ANESTHESIA SERVICES, P.A. 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: 22 Dec 1999 (26 years ago)
Date of dissolution: 06 Dec 2016 (9 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 06 Dec 2016 (9 years ago)
Document Number: P99000111399
FEI/EIN Number 593613830

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1381 CITRUS TOWER BLVD., STE. 4, CLERMONT, FL, 34711, US
Mail Address: 1381 CITRUS TOWER BLVD., STE. 4, CLERMONT, FL, 34711, US
ZIP code: 34711
County: Lake
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GHIVIZZANI DAVID S President 17137 MAGNOLIA ISLAND BLVD, CLERMONT, FL, 34711
HOLLAND JULIE H Director 11246 BRIDGE HOUSE ROAD, WINDERMERE, FL, 34786
HOLLAND JULIE H Vice President 11246 BRIDGE HOUSE ROAD, WINDERMERE, FL, 34786
HOLLAND JULIE H Secretary 11246 BRIDGE HOUSE ROAD, WINDERMERE, FL, 34786
GHIVIZZANI DAVID S Agent 1381 CITRUS TOWER BLVD., STE. 4, CLERMONT, FL, 34711
GHIVIZZANI DAVID S Director 17137 MAGNOLIA ISLAND BLVD, CLERMONT, FL, 34711
GHIVIZZANI DAVID S Treasurer 17137 MAGNOLIA ISLAND BLVD, CLERMONT, FL, 34711

National Provider Identifier

NPI Number:
1750710778

Authorized Person:

Name:
BRIAN CONNOR
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

Fax:
3522437822

Form 5500 Series

Employer Identification Number (EIN):
593613830
Plan Year:
2016
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
14
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2016-12-06 - -
CHANGE OF PRINCIPAL ADDRESS 2006-11-20 1381 CITRUS TOWER BLVD., STE. 4, CLERMONT, FL 34711 -
CHANGE OF MAILING ADDRESS 2006-11-20 1381 CITRUS TOWER BLVD., STE. 4, CLERMONT, FL 34711 -
REGISTERED AGENT ADDRESS CHANGED 2006-11-20 1381 CITRUS TOWER BLVD., STE. 4, CLERMONT, FL 34711 -

Documents

Name Date
ANNUAL REPORT 2016-01-19
ANNUAL REPORT 2015-01-21
ANNUAL REPORT 2014-01-13
ANNUAL REPORT 2013-01-28
ANNUAL REPORT 2012-01-26
ANNUAL REPORT 2011-01-04
ANNUAL REPORT 2010-01-13
ANNUAL REPORT 2009-01-12
ANNUAL REPORT 2008-01-03
ANNUAL REPORT 2007-01-16

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Date of last update: 03 Jul 2025

Sources: Florida Department of State