| Entity Name: | HEART AND HYPERTENSION, PLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 03 Jun 2010 (15 years ago) |
| Date of dissolution: | 01 Oct 2020 (4 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 01 Oct 2020 (4 years ago) |
| Document Number: | L10000059555 |
| FEI/EIN Number | 272774207 |
| Address: | 312 West New York Ave., Deland, FL, 32720, US |
| Mail Address: | 721 BROADOAK LOOP, SANFORD, FL, 32771, US |
| ZIP code: | 32720 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164736880 | 2010-08-05 | 2010-08-05 | 70 FOX RIDGE CT, DEBARY, FL, 327132752, US | 70 FOX RIDGE CT, DEBARY, FL, 327132752, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 386-668-4411 |
| Fax | 3866688688 |
Authorized person
| Name | TULIO A. SULBARAN |
| Role | OWNER |
| Phone | 3866684411 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME 90847 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1023077047 |
| Issuer | BLUE CROSS/BLUE SHIELD |
| Number | 50159 |
| State | FL |
| Issuer | MEDICAID |
| Number | 271134600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SULBARAN TULIO A | Agent | 721 BROADOAK LOOP, SANFORD, FL, 32771 |
| Name | Role | Address |
|---|---|---|
| SULBARAN TULIO A | Managing Member | 721 BROADOAK LOOP, SANFORD, FL, 32771 |
| SULBARAN MERY A | Managing Member | 721 BROADOAK LOOP, SANFORD, FL, 32771 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2020-10-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-28 | 312 West New York Ave., Deland, FL 32720 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-14 | 312 West New York Ave., Deland, FL 32720 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2020-10-01 |
| ANNUAL REPORT | 2019-04-20 |
| ANNUAL REPORT | 2018-04-18 |
| ANNUAL REPORT | 2017-03-01 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-02-20 |
| ANNUAL REPORT | 2014-02-26 |
| ANNUAL REPORT | 2013-03-08 |
| ANNUAL REPORT | 2012-02-26 |
| ANNUAL REPORT | 2011-04-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
