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PARK AVENUE HEART AND VASCULAR CENTER, L.L.C. - Florida Company Profile

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Company Details

Entity Name: PARK AVENUE HEART AND VASCULAR CENTER, L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
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
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
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

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

National Provider Identifier

NPI Number:
1508818592

Authorized Person:

Name:
MRS. CONNIE SUE CRAWFORD
Role:
CREDENTIALING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
9046339793
Fax:
9043881827

Fictitious Names

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

Events

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 -

Documents

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

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Date of last update: 01 Aug 2025

Sources: Florida Department of State