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FLORIDA HEART RHYTHM SPECIALISTS, PLLC

Company Details

Entity Name: FLORIDA HEART RHYTHM SPECIALISTS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Jul 2009 (16 years ago)
Document Number: L09000065324
FEI/EIN Number 270539587
Address: 1841 NE 45th Street, Fort Lauderdale, FL, 33308, US
Mail Address: 1841 NE 45th Street, Fort Lauderdale, FL, 33308, US
ZIP code: 33308
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861622516 2009-07-15 2020-12-26 1841 NE 45TH ST, FORT LAUDERDALE, FL, 333085117, US 1841 NE 45TH ST, FORT LAUDERDALE, FL, 333085117, US

Contacts

Phone +1 954-678-9531
Fax 9546789533

Authorized person

Name DOREEN A WESTERLIND
Role CEO
Phone 9546789531

Taxonomy

Taxonomy Code 207RC0001X - Clinical Cardiac Electrophysiology Physician
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 001909700
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA HEART RHYTHM SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2023 270539587 2024-08-26 FLORIDA HEART RHYTHM SPECIALISTS, PLLC 34
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541990
Sponsor’s telephone number 9546789531
Plan sponsor’s address 1841 N. E. 45TH STREET, FORT LAUDERDALE, FL, 33308

Signature of

Role Plan administrator
Date 2024-08-26
Name of individual signing ADAM STOMP
Valid signature Filed with authorized/valid electronic signature
FLORIDA HEART RHYTHM SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2023 270539587 2024-08-27 FLORIDA HEART RHYTHM SPECIALISTS, PLLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541990
Sponsor’s telephone number 9546789531
Plan sponsor’s address 1841 N. E. 45TH STREET, FORT LAUDERDALE, FL, 33308

Signature of

Role Plan administrator
Date 2024-08-27
Name of individual signing ADAM STOMP
Valid signature Filed with authorized/valid electronic signature
FLORIDA HEART RHYTHM SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2022 270539587 2023-06-22 FLORIDA HEART RHYTHM SPECIALISTS, PLLC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541990
Sponsor’s telephone number 9546789531
Plan sponsor’s address 1841 N. E. 45TH STREET, FORT LAUDERDALE, FL, 33308
FLORIDA HEART RHYTHM SPECIALISTS PLLC, 401(K) PROFIT SHARING PLAN 2021 270539587 2022-06-15 FLORIDA HEART RHYTHM SPECIALISTS PLLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541990
Sponsor’s telephone number 9546789531
Plan sponsor’s address 1841 NE 45TH STREET, FORT LAUDERDALE, FL, 33308

Signature of

Role Plan administrator
Date 2022-06-15
Name of individual signing DOREEN WESTERLIND
Valid signature Filed with authorized/valid electronic signature
FLORIDA HEART RHYTHM SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2020 270539587 2021-06-04 FLORIDA HEART RHYTHM SPECIALISTS, PLLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9546789531
Plan sponsor’s address 1841 N.E. 45TH STREET, FORT LAUDERDALE, FL, 33308

Signature of

Role Plan administrator
Date 2021-06-04
Name of individual signing AHMED F OSMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-04
Name of individual signing AHMED F OSMAN
Valid signature Filed with authorized/valid electronic signature
FLORIDA HEART RHYTHM SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2019 270539587 2020-09-28 FLORIDA HEART RHYTHM SPECIALISTS, PLLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9546789531
Plan sponsor’s address 1841 NE 45TH ST., FORT LAUDERDALE, FL, 33308

Signature of

Role Plan administrator
Date 2020-09-28
Name of individual signing AHMED OSMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-28
Name of individual signing AHMED OSMAN
Valid signature Filed with authorized/valid electronic signature
FLORIDA HEART RHYTHM SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2018 270539587 2019-02-28 FLORIDA HEART RHYTHM SPECIALISTS, PLLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9546789531
Plan sponsor’s address 1841 NE 45TH ST., FORT LAUDERDALE, FL, 33308

Signature of

Role Plan administrator
Date 2019-02-28
Name of individual signing AHMED F. OSMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-02-28
Name of individual signing AHMED F. OSMAN
Valid signature Filed with authorized/valid electronic signature
FLORIDA HEART RHYTHM SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2017 270539587 2018-06-11 FLORIDA HEART RHYTHM SPECIALISTS, PLLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9546789531
Plan sponsor’s address 1841 NE 45TH ST., FORT LAUDERDALE, FL, 33308

Signature of

Role Plan administrator
Date 2018-06-11
Name of individual signing AHMED OSMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-11
Name of individual signing AHMED OSMAN
Valid signature Filed with authorized/valid electronic signature
FLORIDA HEART RHYTHM SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2016 270539587 2017-02-28 FLORIDA HEART RHYTHM SPECIALISTS, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9546789531
Plan sponsor’s address 1841 NE 45TH ST., FORT LAUDERDALE, FL, 33308

Signature of

Role Plan administrator
Date 2017-02-28
Name of individual signing DOREEN WESTERLIND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-28
Name of individual signing DOREEN WESTERLIND
Valid signature Filed with authorized/valid electronic signature
FLORIDA HEART RHYTHM SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2015 270539587 2016-03-16 FLORIDA HEART RHYTHM SPECIALISTS, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9546789531
Plan sponsor’s address 1841 NE 45TH ST., FORT LAUDERDALE, FL, 33308

Signature of

Role Plan administrator
Date 2016-03-16
Name of individual signing AHMED F. OSMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-16
Name of individual signing AHMED F. OSMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KENIGSBERG DAVID N Agent 1841 NE 45th Street, Fort Lauderdale, FL, 33308

Managing Member

Name Role Address
OSMAN AHMED F Managing Member 1841 NE 45th Street, Fort Lauderdale, FL, 33308
KENIGSBERG DAVID N Managing Member 1841 NE 45th Street, Fort Lauderdale, FL, 33308

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000126669 FLORIDA HEART AND VASCULAR ACTIVE 2024-10-14 2029-12-31 No data 1841 NE 45TH STREET, FORT LAUDERDALE, FL, 33308

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-01-25 1841 NE 45th Street, Fort Lauderdale, FL 33308 No data
CHANGE OF MAILING ADDRESS 2016-01-25 1841 NE 45th Street, Fort Lauderdale, FL 33308 No data
REGISTERED AGENT ADDRESS CHANGED 2016-01-25 1841 NE 45th Street, Fort Lauderdale, FL 33308 No data
REGISTERED AGENT NAME CHANGED 2010-01-14 KENIGSBERG, DAVID N No data

Documents

Name Date
ANNUAL REPORT 2024-01-28
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-01-13
ANNUAL REPORT 2019-01-23
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-03-18

Date of last update: 02 Feb 2025

Sources: Florida Department of State