| Entity Name: | CARDIOLOGY ASSOCIATES OF CENTRAL BREVARD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Sep 2011 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 06 Feb 2023 (2 years ago) |
| Document Number: | L11000110358 |
| FEI/EIN Number | 453820495 |
| Address: | 1600 W. Eau Gallie Blvd, Melbourne, FL, 32935, US |
| Mail Address: | 1600 W. Eau Gallie Blvd, Melbourne, FL, 32935, US |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659642288 | 2012-01-12 | 2012-03-19 | 3571 S ATLANTIC AVE, COCOA BEACH, FL, 329312111, US | 3571 S ATLANTIC AVE, COCOA BEACH, FL, 329312111, US | |||||||||||||
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| Phone | +1 321-243-4936 |
Authorized person
| Name | DR. LEWIS C BEAN |
| Role | PRESIDENT |
| Phone | 3212434936 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARDIOLOGY ASSOCIATES OF CENTRAL BREVARD 401K PLAN | 2023 | 453820495 | 2024-05-21 | CARDIOLOGY ASSOCIATES OF CENTRAL BREVARD | 11 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-05-21 |
| Name of individual signing | WENDY CARTER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BEAN LEWIS CM.D. | Agent | 3577 S Atlantic, Cocoa Beach, FL, 32931 |
| Name | Role | Address |
|---|---|---|
| BEAN LEWIS CM.D. | Manager | 1600 W. Eau Gallie Blvd, Melbourne, FL, 32935 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000011327 | ATLANTIC HEART INSTITUTE | EXPIRED | 2013-02-01 | 2018-12-31 | No data | 930 S. HARBOR CITY BOULEVARD, SUITE 100, MELBOURNE, FL, 32901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-02-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-10 | 3577 S Atlantic, Cocoa Beach, FL 32931 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-07 | 1600 W. Eau Gallie Blvd, Suite 102, Melbourne, FL 32935 | No data |
| CHANGE OF MAILING ADDRESS | 2020-04-07 | 1600 W. Eau Gallie Blvd, Suite 102, Melbourne, FL 32935 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-04-07 | BEAN, LEWIS C., M.D. | No data |
| LC AMENDMENT AND NAME CHANGE | 2012-02-07 | CARDIOLOGY ASSOCIATES OF CENTRAL BREVARD, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-04 |
| REINSTATEMENT | 2023-02-06 |
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-04-07 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-03-10 |
| ANNUAL REPORT | 2015-01-13 |
| ANNUAL REPORT | 2014-03-23 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
