| Entity Name: | PASCO CARDIOLOGY CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 07 Aug 1989 (36 years ago) |
| Document Number: | L07529 |
| FEI/EIN Number | 59-3021447 |
| Address: | 14153 YOSEMITE DR, STE 202, HUDSON, FL 34667 |
| Mail Address: | 14153 YOSEMITE DR, STE 202, HUDSON, FL 34667 |
| ZIP code: | 34667 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881686459 | 2005-08-18 | 2018-08-15 | 14153 YOSEMITE DR STE 202, HUDSON, FL, 346676575, US | 14153 YOSEMITE DR STE 202, HUDSON, FL, 34667, US | |||||||||||||||||||||
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| Phone | +1 727-868-5404 |
| Fax | 7278631787 |
Authorized person
| Name | FONG MEI CHANG |
| Role | PRESIDENT |
| Phone | 7278685404 |
Taxonomy
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 376848100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHANG, FONG MEI YOUNG, M.D. | Agent | 14153 YOSEMITE DR, SUITE 202, HUDSON, FL 34667 |
| Name | Role | Address |
|---|---|---|
| CHANG, FONG MEI YOUNG,MD | President | 14153 YOSEMITE DR, SUITE 202 HUDSON, FL 34667 |
| Name | Role | Address |
|---|---|---|
| CHANG, FONG MEI YOUNG,MD | Director | 14153 YOSEMITE DR, SUITE 202 HUDSON, FL 34667 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-30 | 14153 YOSEMITE DR, STE 202, HUDSON, FL 34667 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-30 | 14153 YOSEMITE DR, STE 202, HUDSON, FL 34667 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-30 | 14153 YOSEMITE DR, SUITE 202, HUDSON, FL 34667 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-14 |
| ANNUAL REPORT | 2023-03-16 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-04-01 |
| ANNUAL REPORT | 2020-04-27 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-02-01 |
| ANNUAL REPORT | 2017-03-30 |
| ANNUAL REPORT | 2016-04-07 |
| ANNUAL REPORT | 2015-04-09 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2666418600 | 2021-03-15 | 0455 | PPS | 14153 Yosemite Dr Ste 202, Hudson, FL, 34667-6575 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Feb 2025
Sources: Florida Department of State
