| Entity Name: | ADVANCED HEART GROUP, P.L. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 19 May 2008 (17 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | L08000049597 |
| FEI/EIN Number | 26-2643937 |
| Address: | 1400 HAND AVENUE, SUITE H, ORMOND BEACH, FL 32174 |
| Mail Address: | P.O. BOX 731138, ORMOND BEACH, FL 32173 11 |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457679953 | 2010-05-07 | 2010-05-07 | PO BOX 731138, ORMOND BEACH, FL, 321731138, US | 26 N BEACH ST, SUITE C, ORMOND BEACH, FL, 321745663, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 386-675-6589 |
| Fax | 3866756589 |
Authorized person
| Name | DR. AHMAD SHAMSIN |
| Role | MANAGER |
| Phone | 3867679585 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | ME 90030 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CANNON, ROCHELLE R | Agent | 1400HAND AVENUE, SUITE H, ORMOND BEACH, FL 32174 |
| Name | Role | Address |
|---|---|---|
| CROSSMAN, ARTHUR | Manager | 305 MEMORIA MEDICAL PKWY SUITE 305, DAYTONA BEACH, FL 32118 |
| SHAMSIN, AHMAD | Manager | 3506 SO ATLANTIC AVENUE, DAYTONA BEACH, FL 32118 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000084674 | ADVANCED PRIMARY CARE | EXPIRED | 2010-09-15 | 2015-12-31 | No data | 1400 HAND AVENUE, SUITE H, ORMOND BEACH, FL, 32174 |
| G10000035519 | ADVANCED CARDIOPULMONARY & MEDICAL CONSULTANTS | EXPIRED | 2010-04-22 | 2015-12-31 | No data | 873 STERTHAUS AVENUE, SUITE 305, ORMOND BEACH, FL, 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-20 | 1400 HAND AVENUE, SUITE H, ORMOND BEACH, FL 32174 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-20 | 1400 HAND AVENUE, SUITE H, ORMOND BEACH, FL 32174 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-04-20 | CANNON, ROCHELLE R | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-20 | 1400HAND AVENUE, SUITE H, ORMOND BEACH, FL 32174 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-20 |
| ANNUAL REPORT | 2010-01-11 |
| ANNUAL REPORT | 2009-01-09 |
| Florida Limited Liability | 2008-05-19 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
