| Entity Name: | INSTITUTE OF CARDIOVASCULAR MEDICINE, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
INSTITUTE OF CARDIOVASCULAR MEDICINE, 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: | 21 Dec 2006 (18 years ago) |
| Date of dissolution: | 03 Dec 2021 (3 years ago) |
| Last Event: | LC STMNT OF TERM |
| Event Date Filed: | 03 Dec 2021 (3 years ago) |
| Document Number: | L06000121953 |
| FEI/EIN Number |
593321229
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | P.O. BOX 2050, OCALA, FL, 34478 |
| Address: | 10435 SE 170TH PLACE, SUMMERFIELD, FL, 34491 |
| ZIP code: | 34491 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952325490 | 2006-07-27 | 2009-10-07 | PO BOX 919298, ORLANDO, FL, 328919298, US | 10435 SE 170TH PL, SUMMERFIELD, FL, 344918998, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-624-7384 |
| Fax | 3526247385 |
| Phone | +1 352-347-7923 |
| Fax | 3523476181 |
Authorized person
| Name | DR. ALI NASSER |
| Role | PHYSICIAN |
| Phone | 3522910166 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 40773 |
| State | FL |
| Issuer | MEDICAID |
| Number | 262215700 |
| State | FL |
| Issuer | RR MEDICARE |
| Number | CD5197 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JUSTIN FERNS | Manager | 10435 SE 170TH PLACE, SUMMERFIELD, FL, 34491 |
| NASSER ALI M | Manager | 10435 SE 170TH PLACE, SUMMERFIELD, FL, 34491 |
| THE MILLHORN LAW FIRM, LLC | Agent | 13710 US HIGHWAY 441, STE. 100, LADY LAKE, FL, 32159 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08136900291 | INSTITUTE OF CARDIOVASCULAR MEDICINE | EXPIRED | 2008-05-15 | 2013-12-31 | - | 3310 SW 34TH STREET, OCALA, FL, 34474 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF TERM | 2021-12-03 | - | - |
| LC VOLUNTARY DISSOLUTION | 2021-02-08 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| CHANGE OF MAILING ADDRESS | 2012-04-21 | 10435 SE 170TH PLACE, SUMMERFIELD, FL 34491 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-21 | 10435 SE 170TH PLACE, SUMMERFIELD, FL 34491 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-07 | 13710 US HIGHWAY 441, STE. 100, LADY LAKE, FL 32159 | - |
| REGISTERED AGENT NAME CHANGED | 2009-04-07 | THE MILLHORN LAW FIRM, LLC | - |
| LC AMENDED AND RESTATED ARTICLES | 2009-04-07 | - | - |
| LC AMENDMENT AND NAME CHANGE | 2008-11-10 | INSTITUTE OF CARDIOVASCULAR MEDICINE, L.L.C. | - |
| LC AMENDMENT | 2008-06-02 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000924657 | LAPSED | 42-2012-CA-002207-AXXXX-XX | MARION COUNTY | 2012-11-16 | 2017-12-05 | $86,210.77 | R.H.DONNELLEY, INC., C/O FOSTER & KLINKBEIL, P.A., P.O. BOX 3108, ORLANDO, FL 32802 |
| J12000597081 | LAPSED | 2010 CA 010003 NC | SARASOTA COUNTY TWELFTH JC | 2012-08-28 | 2017-09-12 | $86,000.00 | PREMIER PHYSICIAN MANAGEMENT SERVICES, LLC, 6802 ENERGY COURT, SARASOTA, FL 34240 |
| J11000297593 | TERMINATED | 2011-140-CC | MARION COUNTY | 2011-05-03 | 2016-05-16 | $8,207.05 | BRACCO DIAGNOSTICS, INC., P.O. BOX 532411, CHARLOTTE, NC 28290-2411 |
| Name | Date |
|---|---|
| CORLCSTERM | 2021-12-03 |
| LC Voluntary Dissolution | 2021-02-08 |
| ANNUAL REPORT | 2012-04-21 |
| ANNUAL REPORT | 2011-04-29 |
| ANNUAL REPORT | 2010-01-22 |
| ANNUAL REPORT | 2009-04-09 |
| LC Amended and Restated Art | 2009-04-07 |
| LC Amendment and Name Change | 2008-11-10 |
| ANNUAL REPORT | 2008-07-17 |
| LC Amendment | 2008-06-02 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
