| Entity Name: | CARDIOVASCULAR PREVENTATIVE CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
CARDIOVASCULAR PREVENTATIVE CARE, LLC 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: | 04 Sep 2014 (10 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: | L14000138252 |
| FEI/EIN Number |
47-1770729
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1 SW 129TH AVENUE, SUITE 105, PEMBROKE PINES, FL 33027 |
| Mail Address: | 1 SW 129TH AVENUE, SUITE 105, PEMBROKE PINES, FL 33027 |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649671744 | 2014-09-08 | 2015-06-09 | 1 SW 129TH AVE, SUITE 105, PEMBROKE PINES, FL, 330271761, US | 1 SW 129TH AVE, SUITE 105, PEMBROKE PINES, FL, 330271761, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-425-6200 |
| Fax | 9414604097 |
Authorized person
| Name | DANIEL NORBERG |
| Role | MANAGER |
| Phone | 9544256200 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| License Number | ME64325 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA LICENSE |
| Number | HCC10249 |
| State | FL |
| Issuer | MEDICARE PTAN |
| Number | IC289A |
| State | FL |
| Issuer | MEDICAID |
| Number | 014065300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JONATHAN H. GREEN & ASSOCIATES, P.A. | Agent | - |
| VAZIRIYAN-SANI, F. | Manager | 1 SW 129TH AVENUE, SUITE 105, PEMBROKE PINES, FL 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-03-11 |
| ANNUAL REPORT | 2016-03-03 |
| ANNUAL REPORT | 2015-02-16 |
| Florida Limited Liability | 2014-09-04 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
