Detail by Officer/Registered Agent Name

Florida Limited Liability Company

CONCH REPUBLIC ANESTHESIA, LLC

Filing Information
L11000019984 26-3799962 02/15/2011 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/22/2017 NONE
Principal Address
931 TOPPINO DRIVE
KEY WEST, FL 33040
Mailing Address
1107 KEY PLAZA #289
KEY WEST, FL 33040-4077

Changed: 11/20/2012
Registered Agent Name & Address BRUSCIA, PATRICK J, D.O.
931 TOPPINO DRIVE
KEY WEST, FL 33040

Name Changed: 02/03/2013
Authorized Person(s) Detail Name & Address

Title MGRM

BRUSCIA, PATRICK J, D.O.
1107 KEY PLAZA #289
KEY WEST, FL 33040-4077

Annual Reports
Report YearFiled Date
2014 02/01/2014
2015 02/15/2015
2016 03/25/2016