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COMPLETE CARDIOLOGY CARE, LLC

Company Details

Entity Name: COMPLETE CARDIOLOGY CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 25 Aug 2015 (9 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 27 Nov 2017 (7 years ago)
Document Number: L15000147048
FEI/EIN Number 91-1896241
Address: 1240 West Granada Blvd, 2nd floor, Ormond Beach, FL 32174
Mail Address: POST OFFICE BOX 291427, PORT ORANGE, FL 32127
ZIP code: 32174
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992014146 2010-10-05 2010-10-05 161 N CAUSEWAY, SUITE C, NEW SMYRNA BEACH, FL, 321695303, US 161 N CAUSEWAY, SUITE C, NEW SMYRNA BEACH, FL, 321695303, US

Contacts

Phone +1 386-424-8440
Fax 3864268839

Authorized person

Name DR. ERIC LUP-SING LO
Role OWNER/CEO
Phone 3864248440

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number ME72993
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMPLETE CARDIOLOGY CARE LLC 401K PROFIT SHARING PLAN 2023 911896241 2024-10-08 COMPLETE CARDIOLOGY CARE LLC 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2023-01-01
Business code 621111
Sponsor’s telephone number 3866721023
Plan sponsor’s address 1240 W GRANADA BLVD 2ND FL, ORMOND BEACH, FL, 321745915
COMPLETE CARDIOLOGY CARE LLC CASH BALANCE PLAN 2023 911896241 2024-10-08 COMPLETE CARDIOLOGY CARE LLC 12
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2023-01-01
Business code 621111
Sponsor’s telephone number 3866721023
Plan sponsor’s address 1240 W GRANADA BLVD 2ND FL, ORMOND BEACH, FL, 321745915

Agent

Name Role Address
WANG, HUIJIAN Agent 1240 West Granada Blvd, 2nd floor, Ormond Beach, FL 32174

Manager

Name Role Address
WANG, HUIJIAN Manager 1240 West Granada Blvd, 2nd floor Ormond Beach, FL 32174

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000022970 AFIB CLINIC OF VOLUSIA AND FLAGLER COUNTY EXPIRED 2018-02-12 2023-12-31 No data 305 MEMORIAL MEDICAL PARKWAY, STE 300, DAYTONA BEACH, FL, 32117

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-01-09 1240 West Granada Blvd, 2nd floor, Ormond Beach, FL 32174 No data
REGISTERED AGENT ADDRESS CHANGED 2022-01-09 1240 West Granada Blvd, 2nd floor, Ormond Beach, FL 32174 No data
LC STMNT OF RA/RO CHG 2017-11-27 No data No data
CONVERSION 2015-08-25 No data CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P98000014935. CONVERSION NUMBER 300000154003

Documents

Name Date
ANNUAL REPORT 2025-01-14
ANNUAL REPORT 2024-01-13
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-01-09
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-12
ANNUAL REPORT 2019-01-12
ANNUAL REPORT 2018-01-14
CORLCRACHG 2017-11-27
ANNUAL REPORT 2017-01-08

Date of last update: 20 Jan 2025

Sources: Florida Department of State