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AVENTURA HEART CENTER, LLC

Company Details

Entity Name: AVENTURA HEART CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 12 Jan 2000 (25 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: L00000000475
FEI/EIN Number 650972857
Address: 18600 Collins Ave., Sunny Isles Beach, FL, 33160, US
Mail Address: 18600 Collins Ave., Sunny Isles Beach, FL, 33160, US
ZIP code: 33160
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619952223 2005-12-07 2022-07-21 2845 AVENTURA BLVD, STE 249, AVENTURA, FL, 331803118, US 2845 AVENTURA BLVD, STE 249, AVENTURA, FL, 331803118, US

Contacts

Phone +1 305-932-6061
Fax 3059326717

Authorized person

Name DR. DAVID J KORN
Role PRESIDENT
Phone 3059326061

Taxonomy

Taxonomy Code 174400000X - Specialist
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 258125600
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AVENTURA HEART CENTER RETIREMENT PLAN 2018 650972857 2019-09-23 AVENTURA HEART CENTER, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3059326061
Plan sponsor’s address 2845 AVENTURA BLVD, AVENTURA, FL, 33180

Signature of

Role Plan administrator
Date 2019-09-23
Name of individual signing MELANIE WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
AVENTURA HEART CENTER RETIREMENT PLAN 2017 650972857 2018-05-24 AVENTURA HEART CENTER, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3057738929
Plan sponsor’s address 2845 AVENTURA BLVD, AVENTURA, FL, 33180

Signature of

Role Plan administrator
Date 2018-05-24
Name of individual signing MELANIE WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
AVENTURA HEART CENTER RETIREMENT PLAN 2016 650972857 2017-10-04 AVENTURA HEART CENTER, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Plan sponsor’s address 2845 AVENTURA BLVD, AVENTURA, FL, 33180

Signature of

Role Plan administrator
Date 2017-10-04
Name of individual signing MELANIE WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
AVENTURA HEART CENTER RETIREMENT PLAN 2015 650972857 2016-04-08 AVENTURA HEART CENTER 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3059326061
Plan sponsor’s address 2845 AVENTURA BLVD., SUITE 249, AVENTURA, FL, 331803120
AVENTURA HEART CENTER RETIREMENT PLAN 2014 650972857 2015-08-22 AVENTURA HEART CENTER 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3059326061
Plan sponsor’s address 2845 AVENTURA BLVD., SUITE 249, AVENTURA, FL, 331803120

Signature of

Role Plan administrator
Date 2015-08-22
Name of individual signing ALLY KORN
Valid signature Filed with authorized/valid electronic signature
AVENTURA HEART CENTER RETIREMENT PLAN 2013 650972857 2014-05-07 AVENTURA HEART CENTER 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3059326061
Plan sponsor’s address 2845 AVENTURA BLVD., SUITE 249, AVENTURA, FL, 331803120

Signature of

Role Plan administrator
Date 2014-05-07
Name of individual signing ALLY KORN
Valid signature Filed with authorized/valid electronic signature
AVENTURA HEART CENTER RETIREMENT PLAN 2012 650972857 2013-05-08 AVENTURA HEART CENTER 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3059326061
Plan sponsor’s address 2845 AVENTURA BLVD., SUITE 249, AVENTURA, FL, 331803120

Plan administrator’s name and address

Administrator’s EIN 650972857
Plan administrator’s name AVENTURA HEART CENTER
Plan administrator’s address 2845 AVENTURA BLVD., SUITE 249, AVENTURA, FL, 331803120
Administrator’s telephone number 3059326061

Signature of

Role Plan administrator
Date 2013-05-08
Name of individual signing ALLY KORN
Valid signature Filed with authorized/valid electronic signature
AVENTURA HEART CENTER RETIREMENT PLAN 2011 650972857 2012-05-03 AVENTURA HEART CENTER 10
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3059326061
Plan sponsor’s address 2845 AVENTURA BLVD., SUITE 249, AVENTURA, FL, 331803120

Plan administrator’s name and address

Administrator’s EIN 650972857
Plan administrator’s name AVENTURA HEART CENTER
Plan administrator’s address 2845 AVENTURA BLVD., SUITE 249, AVENTURA, FL, 331803120
Administrator’s telephone number 3059326061

Signature of

Role Plan administrator
Date 2012-05-03
Name of individual signing ALLY KORN
Valid signature Filed with authorized/valid electronic signature
AVENTURA HEART CENTER RETIREMENT PLAN 2010 650972857 2011-05-02 AVENTURA HEART CENTER 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3059326061
Plan sponsor’s address 2845 AVENTURA BLVD., SUITE 249, AVENTURA, FL, 331803120

Plan administrator’s name and address

Administrator’s EIN 650972857
Plan administrator’s name AVENTURA HEART CENTER
Plan administrator’s address 2845 AVENTURA BLVD., SUITE 249, AVENTURA, FL, 331803120
Administrator’s telephone number 3059326061

Signature of

Role Plan administrator
Date 2011-05-02
Name of individual signing ALLY KORN
Valid signature Filed with authorized/valid electronic signature
AVENTURA HEART CENTER RETIREMENT PLAN 2009 650972857 2010-09-14 AVENTURA HEART CENTER 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3059326061
Plan sponsor’s address 2845 AVENTURA BLVD., SUITE 249, AVENTURA, FL, 331803120

Plan administrator’s name and address

Administrator’s EIN 650972857
Plan administrator’s name AVENTURA HEART CENTER
Plan administrator’s address 2845 AVENTURA BLVD., SUITE 249, AVENTURA, FL, 331803120
Administrator’s telephone number 3059326061

Signature of

Role Plan administrator
Date 2010-09-14
Name of individual signing ALLY KORN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Monica Enriquez Agent 18600 Collins Ave., Sunny Isles Beach, FL, 33160

Managing Member

Name Role Address
RASKEN ROBERT Managing Member 2845 AVENTURA BLVD, AVENTURA, FL, 33180

Manager

Name Role Address
Ariadna Balaguer Manager 18600 Collins Ave., Sunny Isles Beach, FL, 33160

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-04-02 18600 Collins Ave., Sunny Isles Beach, FL 33160 No data
REGISTERED AGENT NAME CHANGED 2019-04-02 Monica, Enriquez No data
REGISTERED AGENT ADDRESS CHANGED 2019-04-02 18600 Collins Ave., Sunny Isles Beach, FL 33160 No data
CHANGE OF MAILING ADDRESS 2019-04-02 18600 Collins Ave., Sunny Isles Beach, FL 33160 No data
LC AMENDMENT 2018-09-27 No data No data
LC AMENDMENT 2018-09-17 No data No data

Documents

Name Date
ANNUAL REPORT 2021-02-03
AMENDED ANNUAL REPORT 2020-07-09
ANNUAL REPORT 2020-03-18
ANNUAL REPORT 2019-04-02
LC Amendment 2018-09-27
LC Amendment 2018-09-17
ANNUAL REPORT 2018-02-15
ANNUAL REPORT 2017-03-14
ANNUAL REPORT 2016-04-12
ANNUAL REPORT 2015-04-22

Date of last update: 02 Feb 2025

Sources: Florida Department of State