| Entity Name: | UNIVERSITY HEART INSTITUTE CARDIOVASCULAR GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 18 Dec 2000 (24 years ago) |
| Date of dissolution: | 30 Dec 2012 (12 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Dec 2012 (12 years ago) |
| Document Number: | L00000015698 |
| FEI/EIN Number | 65-1062882 |
| Address: | 2301 N. UNIVERSITY DRIVE, #112, PEMBROKE PINES, FL 33024 |
| Mail Address: | 2301 N. UNIVERSITY DRIVE, #112, PEMBROKE PINES, FL 33024 |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518904051 | 2006-06-01 | 2010-11-01 | 2301 N UNIVERSITY DR, SUITE 112, PEMBROKE PINES, FL, 330243617, US | 2301 N UNIVERSITY DR, SUITE 112, PEMBROKE PINES, FL, 330243617, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 954-963-6500 |
| Fax | 9549636233 |
Authorized person
| Name | ROY WHITTINGHAM |
| Role | MANAGING MEMBER |
| Phone | 9549636500 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY HEART INSTITUTE CARDIOVASCULAR GROUP, LLC 401(K) PLAN | 2011 | 651062882 | 2012-10-15 | UNIVERSITY HEART INSTITUTE CARDIOVASCULAR GROUP, LLC | 69 | |||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 651062882 |
| Plan administrator’s name | UNIVERSITY HEART INSTITUTE CARDIOVASCULAR GROUP, LLC |
| Plan administrator’s address | 2301 N. UNIVERSITY DRIVE, SUITE 112, PEMBROKE PINES, FL, 33024 |
| Administrator’s telephone number | 9548942045 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-15 |
| Name of individual signing | ROY WHITTINGHAM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2001-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9548942045 |
| Plan sponsor’s address | 2301 N. UNIVERSITY DRIVE, SUITE 112, PEMBROKE PINES, FL, 33024 |
Plan administrator’s name and address
| Administrator’s EIN | 651062882 |
| Plan administrator’s name | UNIVERSITY HEART INSTITUTE CARDIOVASCULAR GROUP, LLC |
| Plan administrator’s address | 2301 N. UNIVERSITY DRIVE, SUITE 112, PEMBROKE PINES, FL, 33024 |
| Administrator’s telephone number | 9548942045 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-09 |
| Name of individual signing | BARBARA GUTIERREZ |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2001-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9548942045 |
| Plan sponsor’s address | 2301 N. UNIVERSITY DRIVE, SUITE 112, PEMBROKE PINES, FL, 33024 |
Plan administrator’s name and address
| Administrator’s EIN | 651062882 |
| Plan administrator’s name | UNIVERSITY HEART INSTITUTE CARDIOVASCULAR GROUP, LLC |
| Plan administrator’s address | 2301 N. UNIVERSITY DRIVE, SUITE 112, PEMBROKE PINES, FL, 33024 |
| Administrator’s telephone number | 9548942045 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-12 |
| Name of individual signing | BARBARA GUTIERREZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| SANZOBRINO, BRENDA M.D. | Managing Member | 2301 N. UNIVERSITY DRIVE, #112, PEMBROKE PINES, FL 33024 |
| TELTSER, MATTHEW M.D. | Managing Member | 2301 N. UNIVERSITY DRIVE, #112, PEMBROKE PINES, FL 33024 |
| WHITTINGHAM, ROY M.D. | Managing Member | 2301 N. UNIVERSITY DRIVE, #112, PEMBROKE PINES, FL 33024 |
| GOODE, SELBOURNE MD | Managing Member | 2301 N. UNIVERSITY DRIVE, #112, PEMBROKE PINES, FL 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2012-12-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2002-11-27 | 2301 N. UNIVERSITY DRIVE, #112, PEMBROKE PINES, FL 33024 | No data |
| CHANGE OF MAILING ADDRESS | 2002-11-27 | 2301 N. UNIVERSITY DRIVE, #112, PEMBROKE PINES, FL 33024 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001082339 | LAPSED | CACE13000158 | BROWARD COUNTY 17TH JUD CIRC | 2013-05-27 | 2018-06-12 | $43,312.56 | GENERAL ELECTRIC CAPITAL CORPORATION, 901 MAIN AVENUE, NORWALK, CT 06851 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2012-12-30 |
| Reg. Agent Resignation | 2012-12-11 |
| ANNUAL REPORT | 2012-04-25 |
| ANNUAL REPORT | 2011-04-14 |
| Reg. Agent Change | 2010-08-27 |
| ANNUAL REPORT | 2010-04-05 |
| Reg. Agent Change | 2009-11-02 |
| ANNUAL REPORT | 2009-04-23 |
| ANNUAL REPORT | 2008-04-25 |
| ANNUAL REPORT | 2007-09-21 |
Date of last update: 31 Jan 2025
Sources: Florida Department of State
