| Entity Name: | PARK AVENUE HEART AND VASCULAR CENTER, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PARK AVENUE HEART AND VASCULAR CENTER, L.L.C. 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: | 17 Jun 2005 (20 years ago) |
| Date of dissolution: | 28 Sep 2012 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (13 years ago) |
| Document Number: | L05000062890 |
| FEI/EIN Number |
203071260
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2300 PARK AVE., SUITE 101-C, ORANGE PARK, FL, 32073, US |
| Mail Address: | C/O LAURIE TEPPERT, 2 SHIRCLIFF WAY STE 600, JACKSONVILLE, FL, 32204, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508818592 | 2006-05-17 | 2008-08-06 | 562 PARK ST, SUITE 310, JACKSONVILLE, FL, 322042918, US | 1824 KING ST, SUITE 250, JACKSONVILLE, FL, 322044735, US | |||||||||||||||||||
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| Phone | +1 904-633-2021 |
| Fax | 9046339793 |
| Phone | +1 904-388-1820 |
| Fax | 9043881827 |
Authorized person
| Name | MRS. CONNIE SUE CRAWFORD |
| Role | CREDENTIALING MANAGER |
| Phone | 9046332021 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PILCHER GEORGE S | Officer | 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204 |
| DARNELL KAREN | Director | 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204 |
| MIKULIC MARIANO B | Director | 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204 |
| GARAS SAMER M | Director | 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204 |
| LEFEVER SONYA L | Director | 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204 |
| TEPPERT LAURIE | Agent | 2 SHIRCLIFF WAY STE 600, JACKSONVILLE, FL, 32204 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09107900068 | DCA CARDIAC CATH LAB | ACTIVE | 2029-04-17 | 2034-12-31 | - | 1824 KING STREET, JACKSONVILLE, FL, 32204 |
| G09107900078 | DIAGNOSTIC CARDIOLOGY ASSOCIATES CARDIAC CATHETERIZATION LABORATORY | EXPIRED | 2009-04-17 | 2014-12-31 | - | 1824 KING STREET, JACKSONVILLE, FL, 32204 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | - | - |
| CHANGE OF MAILING ADDRESS | 2009-04-27 | 2300 PARK AVE., SUITE 101-C, ORANGE PARK, FL 32073 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2008-03-26 | 2 SHIRCLIFF WAY STE 600, JACKSONVILLE, FL 32204 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-03-01 |
| ANNUAL REPORT | 2010-04-09 |
| ANNUAL REPORT | 2009-04-27 |
| ANNUAL REPORT | 2008-03-26 |
| ANNUAL REPORT | 2007-04-26 |
| ANNUAL REPORT | 2006-05-08 |
| Florida Limited Liabilites | 2005-06-17 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
