Entity Name: | STUART CARDIOVASCULAR ASSOCIATES, PLLC |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
STUART CARDIOVASCULAR ASSOCIATES, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
Date Filed: | 25 May 2005 (20 years ago) |
Date of dissolution: | 25 Sep 2020 (5 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 25 Sep 2020 (5 years ago) |
Document Number: | L05000052077 |
FEI/EIN Number |
202907689
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 700 Doctors Court, Leesburg, FL, 34748, US |
Mail Address: | 700 Doctors Court, Leesburg, FL, 34748, US |
ZIP code: | 34748 |
County: | Lake |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1003851502 | 2006-06-18 | 2020-06-05 | 700 DOCTORS CT, LEESBURG, FL, 347487314, US | 524 SE OSCEOLA ST, SUITE 100, STUART, FL, 349942322, US | |||||||||||||||||||||||||||||||
|
Phone | +1 352-787-9838 |
Fax | 3527878705 |
Phone | +1 772-419-2379 |
Fax | 7724192377 |
Authorized person
Name | TREVA D. WIDDIS |
Role | ADMINISTRATOR |
Phone | 3527879838 |
Taxonomy
Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BCBS OF FLORIDA |
Number | 00721 |
State | FL |
Issuer | MEDICAID |
Number | 275299900 |
State | FL |
Name | Role | Address |
---|---|---|
WIDDIS TREVA D | Agent | 700 Doctors Court, Leesburg, FL, 34748 |
FLORIDA HEART AND VASCULAR SURGEONS,PA | Manager | 700 Doctors Court, Leesburg, FL, 34748 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
LC STMNT OF RA/RO CHG | 2018-08-13 | - | - |
REGISTERED AGENT NAME CHANGED | 2018-08-13 | WIDDIS, TREVA D | - |
REGISTERED AGENT ADDRESS CHANGED | 2018-08-13 | 700 Doctors Court, Leesburg, FL 34748 | - |
CHANGE OF PRINCIPAL ADDRESS | 2018-04-23 | 700 Doctors Court, Leesburg, FL 34748 | - |
CHANGE OF MAILING ADDRESS | 2018-04-23 | 700 Doctors Court, Leesburg, FL 34748 | - |
LC AMENDMENT | 2013-10-18 | - | - |
Name | Date |
---|---|
ANNUAL REPORT | 2019-04-17 |
CORLCRACHG | 2018-08-13 |
ANNUAL REPORT | 2018-04-23 |
ANNUAL REPORT | 2017-02-20 |
ANNUAL REPORT | 2016-02-22 |
ANNUAL REPORT | 2015-03-10 |
ANNUAL REPORT | 2014-03-04 |
LC Amendment | 2013-10-18 |
ANNUAL REPORT | 2013-03-11 |
ANNUAL REPORT | 2012-04-03 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State