| Entity Name: | FLORIDA HEART & VASCULAR CARE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FLORIDA HEART & VASCULAR CARE, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 07 May 2012 (13 years ago) |
| Date of dissolution: | 03 Nov 2019 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 03 Nov 2019 (5 years ago) |
| Document Number: | L12000061456 |
| FEI/EIN Number |
45-5239582
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 400 Health Park Blvd, St. Augustine, FL, 32086, US |
| Mail Address: | 2025 Purcell Lane, Charleston, SC, 29492, US |
| ZIP code: | 32086 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669710141 | 2013-01-18 | 2013-09-30 | 146 PALM COAST RESORT BLVD, SUITE 806, PALM COAST, FL, 321371812, US | 120 CYPRESS EDGE DR, SUITE 203, PALM COAST, FL, 321648453, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 615-400-0380 |
| Phone | +1 386-586-4410 |
Authorized person
| Name | DR. KAREN CHRISTIANE THEILADE |
| Role | EXECUTIVE DIRECTOR |
| Phone | 3862377353 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 0046G |
| State | FL |
| Issuer | MEDICAID |
| Number | 008378300 |
| State | FL |
| Issuer | RAILROAD |
| Number | DT6579 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| THEILADE KAREN C | Managing Member | 2025 Purcell Lane, Charleston, SC, 29492 |
| Theilade Karen | Agent | 400 Health Park Blvd, St. Augustine, FL, 32086 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-11-03 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-29 | 400 Health Park Blvd, St. Augustine, FL 32086 | - |
| CHANGE OF MAILING ADDRESS | 2018-04-29 | 400 Health Park Blvd, St. Augustine, FL 32086 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-29 | 400 Health Park Blvd, St. Augustine, FL 32086 | - |
| REGISTERED AGENT NAME CHANGED | 2015-04-29 | Theilade, Karen | - |
| LC AMENDMENT | 2012-05-09 | - | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-11-03 |
| ANNUAL REPORT | 2019-04-06 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-03-27 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-03-01 |
| LC Amendment | 2012-05-09 |
| Florida Limited Liability | 2012-05-07 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
