| Entity Name: | VSN MEDICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 29 Jul 2010 (15 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L10000079868 |
| FEI/EIN Number | 273142248 |
| Address: | 5166 ROYAL PADDOCK WAY, MERRITT ISLAND, FL, 32953 |
| Mail Address: | 5166 ROYAL PADDOCK WAY, MERRITT ISLAND, FL, 32953 |
| ZIP code: | 32953 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619214350 | 2013-01-15 | 2013-01-15 | 1055 N DIXIE FREEWAY, SUITE 1, NEW SMYRNA BEACH, FL, 321686200, US | 1055 N DIXIE FREEWAY, SUITE 1, NEW SMYRNA BEACH, FL, 321686200, US | |||||||||||||||||||||||||
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| Phone | +1 386-423-0505 |
| Fax | 3864230515 |
Authorized person
| Name | DR. SURYA RAO |
| Role | OWNER |
| Phone | 3864230505 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| License Number | ME96830 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS OF FLORIDA |
| Number | 94219 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RAO Surya P | Agent | 5166 ROYAL PADDOCK WAY, MERRITT ISLAND, FL, 32953 |
| Name | Role | Address |
|---|---|---|
| RAO SURYA M | Managing Member | 5166 ROYAL PADDOCK WAY, MERRITT ISLAND, FL, 32953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-03-18 | RAO, Surya P | No data |
| REINSTATEMENT | 2012-10-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-05-12 |
| ANNUAL REPORT | 2016-02-02 |
| ANNUAL REPORT | 2015-01-17 |
| ANNUAL REPORT | 2014-01-09 |
| ANNUAL REPORT | 2013-03-18 |
| REINSTATEMENT | 2012-10-05 |
| ANNUAL REPORT | 2011-02-14 |
| Florida Limited Liability | 2010-07-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
