| Entity Name: | VIVEK V KUMAR DO, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Mar 2016 (9 years ago) |
| Document Number: | L16000049683 |
| FEI/EIN Number | 81-1813234 |
| Address: | 6310 HEALTH PARK WAY, SUITE 120, BRADENTON, FL 34202 |
| Mail Address: | 6310 HEALTH PARK WAY, SUITE 120, BRADENTON, FL 34202 |
| ZIP code: | 34202 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548622624 | 2016-03-28 | 2016-03-28 | 6310 HEALTH PARK WAY, STE 120, LAKEWOOD RANCH, FL, 342025177, US | 6310 HEALTH PARK WAY, STE 120, LAKEWOOD RANCH, FL, 342025177, US | |||||||||||||||||||||||||
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| Phone | +1 941-907-8951 |
| Fax | 9419073015 |
Authorized person
| Name | VIVEK V KUMAR |
| Role | PHYSICAN/OWNER |
| Phone | 9419078951 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| License Number | OS13436 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | OS13436 |
| State | FL |
| Name | Role |
|---|---|
| CHESTNUT BUSINESS SERVICES, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| KUMAR, VIVEK V | Manager | 6310 HEALTH PARK WAY, SUITE 120, BRADENTON, FL 34202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-12-03 | 311 PARK PLACE BOULEVARD, SUITE 300, CLEARWATER, FL 33759 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-01-17 | CHESTNUT BUSINESS SERVICES, LLC | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-02-22 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-03-23 |
| ANNUAL REPORT | 2019-01-30 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-17 |
| Florida Limited Liability | 2016-03-10 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
