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INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS, P.L.C.

Company Details

Entity Name: INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS, P.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 Jul 2001 (24 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 30 Oct 2008 (16 years ago)
Document Number: L01000012391
FEI/EIN Number 593733939
Address: 1206 N MILLS AVENUE, ORLANDO, FL, 32803
Mail Address: 1206 N MILLS AVENUE, ORLANDO, FL, 32803
ZIP code: 32803
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518175470 2007-05-21 2024-08-14 1206 N MILLS AVE, ORLANDO, FL, 328032560, US 1206 N MILLS AVE, ORLANDO, FL, 328032560, US

Contacts

Phone +1 407-898-8449
Fax 4078988756

Authorized person

Name DR. ASHISH PAL
Role CEO/MEDICAL DIRECTOR
Phone 4078988449

Taxonomy

Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
License Number ME-0074621
State FL
Is Primary Yes

Other Provider Identifiers

Issuer AMERICAN AGE
Number 1095816
State FL
Issuer UNIVERSAL
Number 1780
Issuer WELLCARE
Number 1513060
State FL
Issuer AETNA HMO
Number 2004394
State FL
Issuer AETNA PPO
Number 5083655
State FL
Issuer CIGNA HMO
Number 7503044009
State FL
Issuer AVMED
Number 242799
State FL
Issuer TRICARE -DAVENPORT LOCATION
Number 10481803
State FL
Issuer MEDICAID
Number 253610200
State FL
Issuer RAILROAD
Number 60069629
State FL
Issuer BC/BS FACILITY
Number WMTRX
State FL
Issuer WAUSAU
Number 10162813
State FL
Issuer AMERIGROUP
Number 1095816
State FL
Issuer WELLCARE
Number 19851
State FL
Issuer HUMANA GROUP
Number 225252
State FL
Issuer SSS OF PUERTO RICO
Number 32314
State FL
Issuer BC/BS INDIVIDUAL
Number 42637
State FL
Issuer FREEDOM
Number P05163
State FL
Issuer CITRUS
Number V0488201
State FL
Issuer CAREPLUS
Number 1015450
State FL
Issuer CIGNA PPO
Number 107503044
State FL
Issuer TRICARE
Number 10481801
State FL
Issuer HUMANA PPO- INDIVIDUAL
Number 631717
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS PROFIT SHARING 401(K) PLAN 2023 593733939 2024-10-17 INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS, P.L.C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4078988650
Plan sponsor’s address 1206 N. MILLS AVE., ORLANDO, FL, 32803
INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS PROFIT SHARING 401(K) PLAN 2022 593733939 2023-10-16 INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS, P.L.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4078988650
Plan sponsor’s address 1206 N. MILLS AVE., ORLANDO, FL, 32803
INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS PROFIT SHARING 401(K) PLAN 2021 593733939 2022-10-14 INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS, P.L.C. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4078988650
Plan sponsor’s address 1206 N. MILLS AVE., ORLANDO, FL, 32803
INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS PROFIT SHARING 401(K) PLAN 2020 593733939 2021-10-13 INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS, P.L.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4078988650
Plan sponsor’s address 1206 N. MILLS AVE., ORLANDO, FL, 32803
INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS PROFIT SHARING 401(K) PLAN 2019 593733939 2020-09-10 INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS, P.L.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4078988650
Plan sponsor’s address 1206 N. MILLS AVE., ORLANDO, FL, 32803
INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS PROFIT SHARING 401(K) PLAN 2019 593733939 2020-09-10 INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS, P.L.C. 21
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4078988650
Plan sponsor’s address 1206 N. MILLS AVE., ORLANDO, FL, 32803
INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS PROFIT SHARING 401(K) PLAN 2018 593733939 2019-10-14 INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS, P.L.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4078988650
Plan sponsor’s address 1206 N. MILLS AVE., ORLANDO, FL, 32803
INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS PROFIT SHARING 401(K) PLAN 2017 593733939 2018-10-10 INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS, P.L.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4078988650
Plan sponsor’s address 1206 N. MILLS AVE., ORLANDO, FL, 32803
INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS PROFIT SHARING 401(K) PLAN 2016 593733939 2017-10-06 INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS, P.L.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4078988650
Plan sponsor’s address 1206 N. MILLS AVE., ORLANDO, FL, 32803
INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS PROFIT SHARING 401(K) PLAN 2015 593733939 2016-10-13 INTERVENTIONAL CARDIOLOGY AND VASCULAR CONSULTANTS, P.L.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4078988650
Plan sponsor’s address 1206 N. MILLS AVE., ORLANDO, FL, 32803

Signature of

Role Plan administrator
Date 2016-10-13
Name of individual signing ASHISH PAL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PAL ASHISH D Agent 1206 N MILLS AVENUE, ORLANDO, FL, 32803

Auth

Name Role Address
PAL ASHISH D Auth 1206 N MILLS AVENUE, ORLANDO, FL, 32803

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000051377 VEIN & CARDIOVASCULAR CENTER EXPIRED 2018-04-24 2023-12-31 No data 1206 N MILLS AVE, ORLANDO, FL, 32803
G12000021728 VEIN & CARDIOVASCULAR CENTER EXPIRED 2012-03-02 2017-12-31 No data 1206 N MILLS AVE, ORLANDO, FL, 32803

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2012-03-02 1206 N MILLS AVENUE, ORLANDO, FL 32803 No data
CHANGE OF PRINCIPAL ADDRESS 2010-04-29 1206 N MILLS AVENUE, ORLANDO, FL 32803 No data
REGISTERED AGENT ADDRESS CHANGED 2010-04-29 1206 N MILLS AVENUE, ORLANDO, FL 32803 No data
CANCEL ADM DISS/REV 2008-10-30 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-03-24
ANNUAL REPORT 2022-03-30
ANNUAL REPORT 2021-03-12
ANNUAL REPORT 2020-05-28
ANNUAL REPORT 2019-04-08
ANNUAL REPORT 2018-02-22
ANNUAL REPORT 2017-02-08
ANNUAL REPORT 2016-03-22
ANNUAL REPORT 2015-02-27

Date of last update: 01 Feb 2025

Sources: Florida Department of State