| Entity Name: | FLORIDA CARDIOCARE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 10 Aug 2012 (13 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L12000103983 |
| Mail Address: | 2930 SE 31ST STREET, OCALA, FL, 34471 |
| Address: | 10435 SE 170TH PLACE, SUMMERFIELD, FL, 34491 |
| ZIP code: | 34491 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336493634 | 2012-11-08 | 2012-11-08 | 10435 SE 170TH PL, SUMMERFIELD, FL, 344918998, US | 10435 SE 170TH PL, SUMMERFIELD, FL, 344918998, US | |||||||||||||||||||
|
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| Phone | +1 352-854-4582 |
| Fax | 3522451162 |
Authorized person
| Name | DR. JUSTIN FERNS |
| Role | PHYSICIAN/ OWNER |
| Phone | 3528544582 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | ME85309 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NASSER SONYA | Agent | 2930 SE 31ST STREET, OCALA, FL, 34471 |
| Name | Role | Address |
|---|---|---|
| FERNS JUSTIN M | Manager | 10435 SE 170TH PLACE, SUMMERFIELD, FL, 34491 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2012-08-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
