| Entity Name: | HEART & VASCULAR CENTER OF BRADENTON, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Apr 2001 (24 years ago) |
| Document Number: | L01000005368 |
| FEI/EIN Number | 651094378 |
| Address: | 6001 21ST AVENUE WEST, BRADENTON, FL, 34209 |
| Mail Address: | 6001 21ST AVENUE WEST, BRADENTON, FL, 34209 |
| ZIP code: | 34209 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841287497 | 2005-09-29 | 2017-02-21 | 6001 21ST AVE W, BRADENTON, FL, 342097847, US | 6001 21ST AVE W, BRADENTON, FL, 342097847, US | |||||||||||||||||||||
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| Phone | +1 941-761-4448 |
| Fax | 9417610235 |
Authorized person
| Name | ROBERT J SUBBIONDO |
| Role | OWNER/MANAGING PARTNER |
| Phone | 9417614448 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 261186400 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEART VASCULAR CENTER OF BRA 401 K PROFIT SHARING PLAN TRUST | 2019 | 651094378 | 2020-07-31 | HEART & VASCULAR CENTER OF BRADENTON | 25 | |||||||||||||||||||||||||||||||||
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| Role | Employer/plan sponsor |
| Date | 2020-07-31 |
| Name of individual signing | ROBERT SUBBIONDO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9417614448 |
| Plan sponsor’s address | 6001 21ST AVE W, BRADENTON, FL, 342097847 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-31 |
| Name of individual signing | ROBERT SUBBIONDO |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2020-07-31 |
| Name of individual signing | ROBERT SUBBIONDO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9417614448 |
| Plan sponsor’s address | 6001 21ST AVENUE WEST, BRADENTON, FL, 342095528 |
| Name | Role | Address |
|---|---|---|
| Subbiondo Robert JDr. | Agent | 6001 21ST AVENUE WEST, BRADENTON, FL, 34209 |
| Name | Role | Address |
|---|---|---|
| SUBBIONDO ROBERT J | Managing Member | 6001 21ST AVENUE WEST, BRADENTON, FL, 34209 |
| PACE JOSEPH N | Managing Member | 6001 21ST AVENUE WEST, BRADENTON, FL, 34209 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
