| Entity Name: | VOLUSIA - FLAGLER VASCULAR CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Mar 2009 (16 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 20 Apr 2009 (16 years ago) |
| Document Number: | L09000027945 |
| FEI/EIN Number | 264050587 |
| Address: | 1873 N. Clyde Morris Blvd., SUITE 101, DAYTONA BEACH, FL, 32117, US |
| Mail Address: | 1873 N. Clyde Morris Blvd., SUITE 101, DAYTONA BEACH, FL, 32117, US |
| ZIP code: | 32117 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700119724 | 2009-09-09 | 2018-04-06 | 3001 PALM HARBOR BLVD STE A, PALM HARBOR, FL, 346831930, US | 1180 N WILLIAMSON BLVD STE 100, DAYTONA BEACH, FL, 321148176, US | |||||||||||||||||||
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| Phone | +1 727-474-0090 |
| Fax | 7274740055 |
| Phone | +1 386-274-4244 |
| Fax | 3862744245 |
Authorized person
| Name | DR. VINAUAK V PURANDARE |
| Role | MANAGER |
| Phone | 3866728595 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| AMERICAN VASCULAR ACCESS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| PURANDARE VINAUAK V | Manager | 15 BROAD RIVER RD, ORMOND BEACH, FL, 32174 |
| PEGORARO ALFREDO | Manager | 405 RAVENS HILL WAY, DELAND, FL, 32724 |
| LATIF SAJID | Manager | 4087 CLOCK TOWER DR, PORT ORANGE, FL, 32129 |
| MOORJANI HARJAS | Manager | 3156 HASSI POINT, LONGWOOD, FL, 32779 |
| Patel Daniel Dr. | Manager | 1180 N. WILLIAMSON BLVD, DAYTONA BEACH, FL, 32114 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-23 | 1873 N. Clyde Morris Blvd., SUITE 101, DAYTONA BEACH, FL 32117 | No data |
| CHANGE OF MAILING ADDRESS | 2024-09-23 | 1873 N. Clyde Morris Blvd., SUITE 101, DAYTONA BEACH, FL 32117 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-30 | 3001 Palm Harbor Blvd, Suite A, Palm Harbor, FL 34683 | No data |
| LC AMENDMENT | 2009-04-20 | No data | No data |
| LC NAME CHANGE | 2009-04-06 | VOLUSIA - FLAGLER VASCULAR CENTER LLC | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-09-23 |
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-02-22 |
| AMENDED ANNUAL REPORT | 2022-05-16 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-03-24 |
| ANNUAL REPORT | 2020-03-25 |
| ANNUAL REPORT | 2019-03-21 |
| ANNUAL REPORT | 2018-03-16 |
| ANNUAL REPORT | 2017-03-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
