| Entity Name: | FLORIDA CARDIOVASCULAR SURGEONS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 31 Mar 1980 (45 years ago) |
| Document Number: | 665159 |
| FEI/EIN Number | 591975675 |
| Address: | % JAMES P. CAMPBELL, 222 harborview lane, Largo, FL, 33770, US |
| Mail Address: | % JAMES P. CAMPBELL, 222 harborview lane, Largo, FL, 33770, US |
| ZIP code: | 33770 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134319957 | 2007-07-27 | 2010-10-12 | 1000 LAKEVIEW RD, SUITE 3, CLEARWATER, FL, 337563475, US | 1000 LAKEVIEW RD, SUITE 3, CLEARWATER, FL, 337563475, US | |||||||||||||||||||||||||
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| Phone | +1 813-890-8004 |
| Fax | 8138908114 |
Authorized person
| Name | JAMES P CAMPBELL |
| Role | OWNER |
| Phone | 7274424178 |
Taxonomy
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| License Number | ME21236 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PALMETTO GBA |
| Number | CM1677 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CAMPBELL, JAMES P. | Agent | 222 harborview lane, Largo, FL, 33770 |
| Name | Role | Address |
|---|---|---|
| CAMPBELL JAMES P | President | 222 harborview lane, Largo, FL, 33770 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-02-27 | No data | No data |
| REINSTATEMENT | 2000-11-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2000-09-22 | No data | No data |
| NAME CHANGE AMENDMENT | 1988-09-26 | FLORIDA CARDIOVASCULAR SURGEONS, INC. | No data |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
